DOI: 10.36347/sjams.2018.v06i07.006

Pages: 2640-2646

To investigate the safety, efficacy, and acceptability of oral misoprostol of different doses for treatment of incomplete abortion according to the uterine size. A prospective observational study. Chittagong Medical College Hospital, Surgiscope Hospital Private Limited,Adhunik Hospital Private limited. March 2015-July 2017. Two hundred ten women with a clinical diagnosis ofincomplete abortion and a uterine size <14 weeks. A total of 210 women were randomized selected for the study, after clinical examination and proper counseling due to excessive bleeding (32patient) and 23 patient were disagreedue to other reasons to take the misoprostol, so 55 patient were excluded from the study and then 155 patient wererecruited for this study takeeither a singledose of 600 micrograms of oral misoprostol or multiple dose of misoprostol 600microgram 3 hourly for three times in a single day. After clinical diagnosisof incomplete abortion either spontaneous or induced, was confirmed by ultrasonography. single dose regimen were adopted when uterine height was less than 10 weeks and multiple dose were adopted when uterine height were within 10 -14 weeks. All the patient were treated as outdoor patient with oral antibiotic for 7 days, clinically assessed for completion and some need ultrasonography at 7-day follow up. If it was still incomplete, very minute amount of product of conception, then woman was offered for expectant management with oral contraceptives pill. During next period it was completely flushed out.