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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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Missed abortion c,2 1st Trimester. Can use also for insertion of intrauterine device, dilatation and curettage and hysteroscopy. A detailed document on this topic is available here. Conducted a 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 the 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.


Leave to work for 2 weeks unless heavy bleeding or infection.

Share this page Facebook Share this page on Twitter Print this page. Reduce doses in women with previous caesarean section.

Postpartum Haemorrhage Initiative | FIGO

A detailed document on this topic is available here Intrauterine fetal death f,g,1,5,6 wks: Induction of labour h,2,9. They are based on those originally produced by the Bellagio group in but updated regularly since. Intrauterine fetal death f,g,1,5,6. Most effective when used 48h after mifepristone mg. If a higher dose than this is used, then uterine hyperstimulation with uterine rupture or fetal distress might be the result. Advocating for improved access to postpartum hemorrhage management: Lancet, ; Sheldon et al.

Cervical ripening for surgical abortion a,d. Treatment of PPH with misoprostol, Article on misprostol recommendations. Pregnancy Termination a,b,1 1st Trimester. Human Reproduction, ; Kapp et al. Jessica MorrisProject Manager What is postpartum haemorrhage?

The most common cause of PPH is poor contraction of the uterus uterine atony. Maternal Health Task Force blog. Skip to main content. Exclude second twin before administration. Gynuity have a wide range of useful resources available regarding misoprostol use which can be found here. Instructions on preparing the oral solution can be found here.


A simplified dosage chart for non-doctors is also available here.

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. A full pictorial guide rigo how to safely make up a ml batch of a 1 microgram per ml solution of misoprostol for oral administration can be found here.

Dosage Guidelines

Jessica MorrisProject Manager. 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.

Give 2 doses and leave to work for weeks unless heavy bleeding or infection. PPH leading to unnecessary deaths. Where oxytocin is not available or storage conditions are inadequate.

Follow the dosage regimes carefully and do not exceed those doses.

Download the above chart in PDF format click here.