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    Recommended Dosages: 1st Trimester 2nd Trimester 3rd Trimester Postpartum

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    Putri Octavia Sari
    This document provides dosage recommendations for the drug misoprostol for various gynecological procedures and conditions. It lists the recommended dosages in micrograms for misoprostol for induced abortion in the first trimester, missed abortion, incomplete abortion, cervical ripening before instrumentation, intrauterine fetal death in the second and third trimesters, induction of labor in the third trimester, and postpartum hemorrhage treatment and prophylaxis. Notes provide additional guidance on legal restrictions, inclusion in the WHO Model List of Essential Medicines, duration of use, and safety considerations for those with previous cesarean sections.

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    Recommended Dosages: 1st Trimester 2nd Trimester 3rd Trimester Postpartum

    Uploaded by

    Putri Octavia Sari
    83 views1 page
    This document provides dosage recommendations for the drug misoprostol for various gynecological procedures and conditions. It lists the recommended dosages in micrograms for misoprostol for induced abortion in the first trimester, missed abortion, incomplete abortion, cervical ripening before instrumentation, intrauterine fetal death in the second and third trimesters, induction of labor in the third trimester, and postpartum hemorrhage treatment and prophylaxis. Notes provide additional guidance on legal restrictions, inclusion in the WHO Model List of Essential Medicines, duration of use, and safety considerations for those with previous cesarean sections.

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    Original Title

    Misoprostol FIGO

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    This document provides dosage recommendations for the drug misoprostol for various gynecological procedures and conditions. It lists the recommended dosages in micrograms for misoprostol for induced abortion in the first trimester, missed abortion, incomplete abortion, cervical ripening before instrumentation, intrauterine fetal death in the second and third trimesters, induction of labor in the third trimester, and postpartum hemorrhage treatment and prophylaxis. Notes provide additional guidance on legal restrictions, inclusion in the WHO Model List of Essential Medicines, duration of use, and safety considerations for those with previous cesarean sections.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    83 views1 page

    Recommended Dosages: 1st Trimester 2nd Trimester 3rd Trimester Postpartum

    Uploaded by

    Putri Octavia Sari
    This document provides dosage recommendations for the drug misoprostol for various gynecological procedures and conditions. It lists the recommended dosages in micrograms for misoprostol for induced abortion in the first trimester, missed abortion, incomplete abortion, cervical ripening before instrumentation, intrauterine fetal death in the second and third trimesters, induction of labor in the third trimester, and postpartum hemorrhage treatment and prophylaxis. Notes provide additional guidance on legal restrictions, inclusion in the WHO Model List of Essential Medicines, duration of use, and safety considerations for those with previous cesarean sections.

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    © All Rights Reserved
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    MISOPROSTOL

    Recommended Dosages
    800µg Induced abortion1
    800µg vaginal
    12 hrly (max x3)

    Missed abortion
    800µg vaginal
    3 hrly (max x2)
    600µg OR
    600µg sublingual
    3 hrly (max x2) PPH treatment
    & prophylaxis6
    Incomplete 600µg oral or
    abortion2,3 sublingual single dose
    600µg oral
    single dose
    400µg Cervical ripening Induced abortion1,4:
    pre-instrumentation interruption of
    pregnancy
    400µg vaginal 400µg vaginal
    3 hrs before procedure 3 hrly (max x5)

    200µg Intrauterine fetal death4


    (13-17 wks)
    200µg vaginal
    6 hrly (max x4)

    100µg Intrauterine fetal death4


    (18-26 wks)
    100µg vaginal
    6 hrly (max x4)

    50µg Intrauterine fetal death5


    (27-43 wks)
    25-50µg vaginal
    4 hrly (max x6)

    25µg
    Induction of labour2,5
    25µg vaginal
    4 hrly (max x6)
    OR
    20µg oral solution
    2 hrly (max x12)

    Care with previous uterine scar


    and caesarean section

    1st Trimester 2nd Trimester 3rd Trimester Postpartum

    Check for updates at www.figo.org and www.misoprostol.org


    Notes: 1. Only use where legal 5. Do not use if previous caesarean section:
    2. Included in the WHO Model list of essential Make sure you use the correct dosage - overdose can
    medicines lead to complications
    3. Leave to work for 1-2 weeks unless bleeding or 6. Oxytocin is first line as it is more effective than
    infection misoprostol
    4. Halve dose if previous caesarean section
    Recommendations from the Bellagio Group (Weeks & Faúndes Int J Gynaecol Obstet 2007;99 (s2):S156)

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