Misoprostol Wheel 2017 EN
Misoprostol Wheel 2017 EN
Misoprostol Wheel 2017 EN
MISOPROSTOL-ONLY
RECOMMENDED REGIMENS 2017
<13 weeks’ 13–26 weeks’ >26 weeks’ Postpartum
gestation gestation gestation8 use
1 If mifepristone is available (preferable), 5 An additional dose can be offered if 9 If only 200μg tablets are
Notes
follow the regimen prescribed for the placenta has not been expelled 30 available, smaller doses can be
mifepristone + misoprostol minutes after fetal expulsion made by dissolving in water
2 Included in the WHO Model List of 6 Several studies limited dosing to 5 (see www.misoprostol.org)
Essential Medicines times; most women have complete 10 Where oxytocin is not
expulsion before use of 5 doses, but available or storage
3 For incomplete/inevitable abortion other studies continued beyond 5 and
women should be treated based on conditions are
achieved a higher total success rate inadequate
their uterine size rather than last with no safety issues
menstrual period (LMP) dating 7 Including ruptured membranes where 11 Option for
4 Leave to take effect over delivery indicated community
1–2 weeks unless excessive based
8 Follow local protocol if previous
bleeding or infection programs
cesarean or transmural uterine scar
16 23 3 0 7 14
9 21
28
2
4
26 11
19
18
12
25
5
2
29
9
22
16
15
23 30 1
18
24
7
14
17
21
10
28
3
27
4
20
11
18
13
6 25
4
29 11
22 18
15 8 1 25
Top Wheel
38 39 4
37 1 42
36
35 atio n o f preg n
d dur anc
we
34 late y ek
alcu s
33 c
32
31
estimated
9 30
2
delivery d
wee
e at
ks
26 27 28
1
conc
e p t io
www.figo.org
n
mi
2
24 25
sse
dp
er i
3
od
23
4
22
5
21
6
20 7
19 8
18 9
10 17
11 12 16
13 14 15