Title

Clinical pitfalls in misoprostol-based medical management of first-trimester induced and presumed spontaneous abortion.

Document Type

Article

Publication Date

12-2017

Institution/Department

Obstetrics & Gynecology

Journal Title

Journal of clinical ultrasound : JCU

ISSN

1097-0096

Abstract

When administered inappropriately, first-trimester misoprostol management of induced or spontaneous abortion can result in loss or damage of a continuing pregnancy. Despite these serious consequences, such misoprostol exposures continue to occur. Unfortunately, contributing factors and preventive measures receive little attention. We describe the cases of 4 women in whom misoprostol was inappropriately administered during management of induced and presumed spontaneous abortion. In each case, careful adherence to published clinical guidance could have avoided the exposures.

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