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Various reasons can lead to abortion in the second trimester of pregnancy. Abortion in the second trimester of pregnancy causes significantly more complications like hemorrhage and placental retention as compared to the abortions occurring in gestational ages less than 8 weeks. In order to control and improve the third stage of labor, several medications derived from oxytocin, ergots, and prostaglandin groups can be used orally, vaginally, and rectally (1-5). Rectal, vaginal and oral misoprostol can be used for controlling hemorrhage in the third stage of delivery. Rectal administration of misoprostol has the advantage of having high level of absorption in the body and fewer complications in comparison to its oral form. Cases of retained placenta in different studies have been reported between 8%-80% (6,7). The aim of this study was to compare the efficacy of intravenous oxytocin versus rectal misoprostol in the management of the third stage of labor during pregnancy termination.

international journal of women's health and reproduction sciences

Comparing the Effectiveness of Intravenous Oxytocin Versus Rectal Misoprostol in the Management of Third-Stage of Labour After Second-Trimester Abortion