Efficacy of using Intravaginal Misoprostl in mid-trimester missed abortion

Misoprostol to treat missed abortion in the first trimester.

Missed abortion in the first trimester is characterized by the arrest of embryonic or fetal development. The cervix is closed and there is no or only slight bleeding. Ultrasound examination shows an empty gestational sac or an embryo/fetus without cardiac activity. Based on a review of the published literature a single dose of 800 microg vaginal misoprostol may be offered as an effective, safe,...

Comparison of the Efficacy of Vaginal Misoprostol with and without Laminaria in Second Trimester Induction Abortion

Background & Aims: Therapeutic abortion in the second trimester pregnancy is the choice treatment in cases with severe anomalies or intrauterine fetal death. It can be done by a number of medical (e.g. misoprostol) or mechanical methods (e.g. laminaria). The aim of this study was to compare the efficacy of misoprostol alone and misoprostol in combination with laminaria in the induction of secon...

Comparison of Sublingual and Vaginal Routes of Misoprostol in Termination of First Trimester Missed Abortion

Aim: To compare the sublingual and vaginal routes of misoprostol in termination of first trimester missed abortion. Methodology: The study was carried out in the Obstetrics & Gynecology unit-II of Bahawal Victoria Hospital Bahawalpur, Pakistan, having yearly turnover > 3000 indoor patients. Results: In vaginal misoprostol group 66.7% cases completely aborted while in sublingual group 73.3% expe...

Placenta Percreta in First Trimester after Multiple Rounds of Failed Medical Management for a Missed Abortion

Background The detection of a morbidly adherent placenta (MAP) in the first trimester is rare. Risk factors such as multiparity, advanced maternal age, prior cesarean delivery, prior myomectomy, placenta previa, or previous uterine evacuation place patients at a higher risk for having abnormal placental implantation. If these patients have a first trimester missed abortion and fail medical mana...

Morphological Analysis of Missed Abortion