DOI: 10.36347/sjams.2019.v07i03.065

Pages: 1195-1201

Miscarriage, also known as spontaneous abortion and pregnancy loss, is the natural death of an embryo or fetus before it is able to survive independently. We conducted a cross sectional descriptive study in the Department of Obstetrics and Gynaecology, Rajshahi Medical College Hospital, Rajshahi, Bangladesh during the period from September, 2016 to February, 2017. Our aim was to assess the efficacy of medical management of miscarriage in Bangladesh. We selected 87 participants aged between 14 to 34 years, came to visit in the selected hospital. Most of the participants were 26-30 years age group, representing 44.82 %. Mean age ± SD were 30.75±2.19. Repeated dose misoprostol were in 3 participants, Median gravida were 2(2-8). 37 (42.52%) were nulyparous. Out of 87 mothers 51.72% presented with incomplete abortion, 31.03% with blighted ovum, 14.94% with missed miscarriage and rest 2.29% presented with congenital anomalies. The mean gestational age was 13.43±1.19 week. Regarding final outcome, Successful medical management (no product of conception) 76 representing 87.35%. Successful medical management among repeated dose were 1(33.33%) and out of 5 acute presentation, 4(80%) were successful. No side effects were in 75 participants. In the conclusion, we can say that oral miferistone plus misoprostol will prove to be a good alternative to surgical evacuation in Bangladesh.