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