FIGO MISOPROSTOL PDF
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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This independent site has been set up to distribute dosage guidelines for the use of misoprostol in obstetrics and gynaecology. 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.
They are based on those originally produced by the Bellagio group in but updated regularly since. Gynuity have a wide range of useful resources available regarding misoprostol use which can be found here.
Dosage Guidelines – Misoprostol
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. Download the above chart in PDF format click here.
A simplified dosage chart for non-doctors is also available here. Lancet, ; Sheldon et al. Human Reproduction, ; Kapp et al. Treatment of PPH with misoprostol, Misoprostol is a very powerful stimulator of uterine contractions in late pregnancy and can cause fetal death and uterine rupture misoprowtol used in high doses.
Postpartum Haemorrhage Initiative | FIGO
Follow the dosage regimes carefully and do not exceed those doses. Safe single doses of vaginal misoprostol for producing uterine contractions at various gestations.
If a higher dose than this is used, then uterine hyperstimulation with uterine rupture or fetal distress might be the result. A detailed description of the treatment can also be found here Cervical ripening for surgical abortion a,d weeks: A detailed document on this topic is available here Intrauterine fetal death f,g,1,5,6 wks: Miwoprostol fetal death in the third trimester see ‘Induction of Labour’ below. Induction of labour h,2,9 25mcg vaginally 6-hrly or 25mcg orally 2-hrly Do not use if previous caesarean section.
Instructions on preparing the oral solution can be found here.
Exclude second twin before administration. PPH treatment k,2,10 mcg sublingually single dose Where oxytocin is not available or storage conditions are inadequate. Misoproxtol website access settings. Pregnancy Termination a,b,1 1st Trimester. Missed abortion c,2 1st Trimester. Give 2 doses and leave to work for weeks unless heavy bleeding or infection.
Incomplete abortion a,2,3,4 1st Trimester. Leave to work for 2 weeks unless heavy bleeding or infection. A detailed description of the treatment can also be found here.
Cervical ripening for surgical abortion a,d.
Can use also for insertion of intrauterine device, dilatation and curettage and hysteroscopy. Most effective when used 48h after mifepristone mg.
Misoprostol Dosage Chart – new release!
A detailed document on this topic is available here. Intrauterine fetal death f,g,1,5,6.
Reduce doses in women with previous caesarean section. Induction of labour h,2,9. Do not use if previous caesarean section. Where oxytocin is not available or storage conditions are inadequate.