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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Jessica MorrisProject Manager What is postpartum haemorrhage?
Postpartum Haemorrhage Initiative
Pregnancy Termination a,b,1 1st Trimester. Do not use if previous caesarean section. PPH leading to unnecessary deaths. The most common cause of PPH is poor contraction of the uterus uterine atony.
Project materials FIGO’s advocacy pack: Cigo 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.
Article on misprostol recommendations. Skip to main content. Usability website access settings. Induction of labour h,2,9.
Most effective when used 48h after mifepristone mg. A simplified dosage chart for non-doctors is also msioprostol here. Instructions on preparing the oral solution can be found here.
A detailed document on this topic is available here. Exclude second twin before administration.
A detailed description of the treatment can also be found here. 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.
Misoprostol Dosage Chart – new release! | FIGO
Induction of labour h,2,9 25mcg vaginally 6-hrly or 25mcg orally 2-hrly Do not use if previous caesarean section. 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.
If a higher dose than this is used, then uterine hyperstimulation with uterine rupture or fetal distress might be the result. A detailed document on this topic is available here Intrauterine fetal death f,g,1,5,6 wks: Leave to work misoprpstol 2 weeks unless heavy bleeding or infection. Advocating for improved access to postpartum hemorrhage management: This misprostol site has been set up to distribute dosage guidelines for the use of misoprostol in obstetrics and gynaecology. They are based on those originally produced by the Bellagio group in but updated regularly since.
Download the above chart in PDF format click here. A full pictorial guide on how to safely make up a ml batch of a 1 microgram per ml solution of misoprostol for oral administration can be found here. Lancet, ; Sheldon et al. Follow the dosage regimes carefully and do not exceed those doses.
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.
Share this page Facebook Share this page on Twitter Print this page. Human Reproduction, ; Kapp et al. Jessica MorrisProject Manager. Missed abortion c,2 1st Trimester. A detailed description of the treatment can also be found here Cervical ripening for surgical abortion a,d weeks: Intrauterine fetal death f,g,1,5,6.
Dosage Guidelines – Misoprostol
Treatment of PPH with misoprostol, Safe single doses of vaginal misoprostol for producing uterine contractions at various gestations. Can use also mislprostol insertion of intrauterine device, dilatation and curettage and hysteroscopy. Where oxytocin is not available or storage conditions are inadequate. Give 2 doses and leave to work for weeks unless heavy bleeding or infection. Reduce doses in women with previous caesarean section.
For fetal death in the third trimester see ‘Induction of Labour’ below. Maternal Health Task Force blog. Incomplete abortion a,2,3,4 1st Trimester. Gynuity have a wide range of useful resources available regarding misoprostol use which can be found here. Postpartum Haemorrhage PPH is the leading cause of maternal mortality in low-income countries.
PPH treatment k,2,10 mcg sublingually single dose Where oxytocin is not available or storage conditions are inadequate. Cervical ripening for surgical abortion a,d.