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