PDF | On Jun 23, , Jessica L Morris and others published FIGO’s updated recommendations for misoprostol used alone in gynecology and. In , the International Federation of Obstetrics and Gynecology (FIGO) produced a chart detailing recommended dosages of misoprostol. These dosage guidelines are produced by FIGO and WHO. Recommended doses of Misoprostol (Cytotec®) are provided in this site along with instructions for.
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Can use also for insertion of intrauterine device, dilatation and curettage and hysteroscopy. Instructions on preparing the oral solution can be found here.
A detailed document on this topic is available here Intrauterine fetal death f,g,1,5,6 wks: Exclude second twin before administration.
Skip to main content. Intrauterine fetal death f,g,1,5,6. Human Reproduction, ; Kapp et al. The correct dosage varies greatly according to gestation, indication and route of administration — using the correct dosage is vital for success and to prevent complications.
The aim of the survey was also to establish any challenges to implementing evidence-based practice, in order to further support FIGO Member Associations in working towards their maternal health goals. Download the above chart in PDF format click here. Jessica MorrisProject Manager. Article on misprostol recommendations.
A simplified dosage chart for non-doctors is miaoprostol available here. A detailed description of the treatment can also be found here.
Share this page Facebook Share this page on Twitter Print this page. Maternal Health Task Force blog. Safe single doses of vaginal misoprostol for producing uterine contractions at various gestations. This independent site has been set up to mmisoprostol dosage guidelines for the use of misoprostol in obstetrics and gynaecology.
Jessica MorrisProject Manager What is postpartum haemorrhage?
Follow the dosage regimes carefully and do not exceed those doses. For fetal death in the third trimester see ‘Induction of Labour’ below. Most effective when used 48h after mifepristone mg. Give 2 doses and leave to work for weeks unless heavy bleeding or infection. Usability website access settings. Induction of labour h,2,9 25mcg vaginally 6-hrly or 25mcg orally 2-hrly Do not use if previous caesarean section.
Postpartum Haemorrhage Initiative | FIGO
They are based on those originally produced by the Bellagio group in but updated regularly since. PPH leading to unnecessary deaths. Reduce doses in women with previous caesarean section. A detailed document on this topic is available here.
Dosage Guidelines – Misoprostol
Lancet, ; Sheldon et al. Project materials FIGO’s advocacy pack: Postpartum Haemorrhage PPH is the leading cause of maternal mortality in low-income countries. Leave to work for 2 weeks unless heavy bleeding or infection. Advocating for improved access to postpartum hemorrhage management: Do not use if previous caesarean section.
Missed abortion c,2 1st Trimester. If a higher dose than this is used, then uterine hyperstimulation with uterine rupture or fetal distress might be the result.
Pregnancy Termination a,b,1 1st Trimester. The most common cause of PPH is poor contraction of the uterus uterine atony. A full pictorial guide on misoprostil to safely make up a ml batch of a 1 microgram per ml solution of misoprostol for oral administration can be found here.
Induction of labour h,2,9. Where oxytocin is not available or storage conditions are inadequate. Conducted a review of the latest evidence which led to updating of the chart Conducted more than 40 expert panel sessions to disseminate the latest clinical information on PPH management Launched a survey with our member societies to find out more about the current status of country-level guidelines on PPH management FIGO’s member society survey In FIGO conducted a survey of our member societies, to find out about their national guidelines for PPH, and inclusion of key PPH medicines on essential medicines lists EMLs.
Cervical ripening for surgical abortion a,d. A detailed description of the treatment can also be found here Cervical ripening for surgical abortion a,d weeks: Misoprostol is a very powerful stimulator of uterine contractions in late pregnancy and can cause fetal death and uterine rupture if used in high doses. Gynuity have a wide range of useful resources available regarding misoprostol use which can be found here.
PPH treatment k,2,10 mcg sublingually single dose Where cigo is not available or storage conditions are inadequate. Treatment of PPH with misoprostol, Incomplete abortion a,2,3,4 1st Trimester.