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Oral misoprostol as an alternative to surgical management for incomplete abortion in Ghana
Author(s) -
Taylor Joseph,
Diop Ayisha,
Blum Jennifer,
Dolo Obed,
Winikoff Beverly
Publication year - 2011
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2010.08.022
Subject(s) - medicine , misoprostol , abortion , obstetrics , incomplete abortion , gynecology , pregnancy , genetics , biology
Objective To investigate whether 600‐μg oral misoprostol is an effective alternative to manual vacuum aspiration (MVA) for the treatment of incomplete abortion. Methods From June 16, 2004, to July 20, 2005, 230 women of reproductive age presenting with incomplete abortion were randomized in an open‐label trial to either 600‐μg oral misoprostol or MVA for the treatment of incomplete abortion. Results Regardless of the assigned method, more than 98% of participants experienced complete uterine evacuation following initial treatment. Efficacy, acceptability, and satisfaction ratings were similar and high for both methods. Conclusion 600‐μg oral misoprostol is a safe, effective, and acceptable alternative to MVA for the treatment of incomplete abortion.