Bibliographic information
GuidelineMedical management of abortion
Year of Publication2018
Issuing InstitutionWorld Health Organization
Recommendation
Maintained
Originally developed
For the treatment of incomplete abortion at ≥ 13 weeks uterine size, we suggest the use of repeat doses of 400 μg misoprostol administered sublingually, vaginally or buccally every 3 hours
Recommended in favor
Conditional
Notes and Remarks
- 1.In this guideline, duration of pregnancy (gestation) is the size of the uterus, estimated in weeks, based on clinical examination, that corresponds to a pregnant uterus of the same gestational age dated by last menstrual period (LMP).
- 2.Repeat doses of misoprostol can be considered when needed to achieve success of the abortion process. In this guideline we do not provide a maximum number of doses of misoprostol. Health-care providers should use caution and clinical judgement to decide the maximum number of doses of misoprostol in pregnant individuals with prior uterine incision. Uterine rupture is a rare complication; clinical judgement and health system preparedness for emergency management of uterine rupture must be considered with advanced gestational age.
- 3.This is a new recommendation
Also Featured In
This recommendation also appears in the following guidelines:
Guideline
Abortion care guideline
Year2022
InstitutionWHO
Guideline
Abortion care guideline, 2nd ed
Year2024
InstitutionWorld Health Organization