EFFICACY OF SINGLE DOSE OF VAGINAL MISOPROSTOL 800 µg IN FIRST TRIMESTER ABORTION.
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 16
Abstract
[b] OBJECTIVES[/b]: To know the efficacy and outcome of single dose of vaginal Misoprostol 800Ug in first trimester abortion. [b]MATERIAL AND METHODS[/b]: This study was conducted over a period of 3 yrs at Adichunchanagiri institute of medical sciences. A total of 200 pregnant women upto 12 wks of gestation wanting termination of pregnancy was recruited in this study. The efficacy, outcome, and induction abortion interval was studied in these cases. [b]RESULTS[/b]: In our case study 76% of the patients had complete abortion with single dose of 800ug Misoprostol and 4 % underwent check curettage due to profuse bleeding and retained products in uterus on USG. 20% of the cases needed second dose of 200ug of Misoprostol. The mean induction to abortion interval was 11.38hrs. 96% of the patients had complete abortion with medical method and only 4% underwent surgical curettage due to profuse bleeding after the single dose. The mean haemoglobin prior to induction was 9.76gm% and post expulsion was 9.59gm % respectively. No statistical difference was noted .The incidence of side effects like nausea, vomiting and diarrhoea was minimal and transitory. No major complications noted. [b]CONCLUSION[/b]: Vaginal PGE1 analogue is very safe and effective method of termination of first trimester pregnancy. Single high dose of vaginal Misoprostol 800ug is found to be cost -effective with minimal side effects, shorter Induction Abortion interval and a day care procedure with good success rate and can be adopted at community and primary health care units to reduce the maternal morbidity and mortality in developing countries like India due to unwanted pregnancies and unsafe abortions
Authors and Affiliations
Gopal Narasimaiah, Ravindra Pukale, Shilpa Shivanna, Neha Sharma
Keywords
Related Articles
- EP ID EP158969
- DOI 10.14260/jemds/597
- Views 59
- Downloads 0
A CASE REPORT - RETROPERITONEAL DERMOID
Dermoid cyst comprises tissue derived from all the three germ cell layer of the embryo and can include many tissue types. Most are benign, but any of the tissue present can undergo malignant transformation. The...
EVALUATION OF LOCKING COMPRESSION PLATING BY MIPPO TECHNIQUE IN PROXIMAL TIBIAL FRACTURES: A PROSPECTIVE STUDY
[b]CONTEXT[/b]: Surgical management of proximal tibia fractures by MIPPO technique. [b]BACKGROUND[/b]: Tibial plateau fractures constitute about 1% of all fractures & complex tibial condylar fractures const...
FOETOMATERNAL OUTCOME AMONG ELDERLY PREGNANT WOMEN ATTENDING A PERIPHERAL TEACHING INSTITUTION OF WEST BENGAL, INDIA- A PROSPECTIVE OBSERVATIONAL STUDY
BACKGROUND Advances in assisted reproductive technology, delayed marriage and increase in the rate of divorce followed by re-marriage all lead to an increased number of women giving birth for the first time at the age of...
CLINICAL PROFILE OF HYMENOPTERA STING IN A TERTIARY CARE HOSPITAL IN HIMACHAL PRADESH
BACKGROUND Hymenoptera stings are common public health hazards worldwide. Clinical spectrum of venom allergy varies from local reaction to life-threatening and unusual delayed reaction which may be fatal. MATERIALS AND M...
ROLE OF MAGNETIC RESONANCE IMAGING IN THE DIAGNOSIS OF ADULT ONSET MOVEMENT DISORDERS
BACKGROUND Magnetic Resonance Imaging (MRI) is an important tool in distinguishing between the types of movement disorders based on characteristic patterns of regional atrophy, signal changes or microstructural...