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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Safe single doses of vaginal misoprostol for producing uterine contractions at various gestations. Project materials FIGO’s advocacy pack: Leave to work for 2 weeks unless heavy bleeding or infection.

Postpartum Haemorrhage Initiative | FIGO

Cervical ripening for surgical abortion a,d. Where oxytocin is not available or storage conditions are inadequate. If a higher dose than this is used, then uterine hyperstimulation with uterine rupture or fetal distress might be the result. Exclude misoproxtol twin before administration. A detailed description of the treatment can also be found here. PPH leading to unnecessary deaths. Lancet, ; Sheldon et al.

Missed abortion c,2 1st Trimester. Download the above chart in PDF format click here. Reduce doses in women with previous caesarean section. Gynuity have a wide range of useful resources available regarding misoprostol use which can be found here. PPH treatment k,2,10 mcg sublingually single dose Where oxytocin is not available or storage conditions are inadequate.

Advocating for improved access to postpartum hemorrhage management: This independent site has been set up to distribute dosage guidelines for the use of misoprostol in obstetrics and gynaecology. Incomplete abortion a,2,3,4 1st Trimester. Give 2 doses and leave to work for weeks unless heavy bleeding or infection. Usability website access settings. Jessica MorrisProject Manager. Article on misprostol recommendations.


Do not use if previous caesarean section. Treatment of PPH with misoprostol, A detailed document on this topic is available here Intrauterine fetal death f,g,1,5,6 wks: 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.

Conducted a review of the latest evidence which led to updating of the chart Conducted more than 40 expert fiog 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.

Induction of labour h,2,9.

Misoprostol Dosage Chart – new release!

Can use also for insertion of intrauterine device, dilatation and curettage and hysteroscopy. Instructions on preparing the oral solution can be found here.

A detailed document on this topic is available here. Postpartum Haemorrhage PPH is the leading cause of maternal mortality in low-income countries.

Most effective when used 48h after mifepristone mg. Maternal Health Task Force blog. They are based misoporstol those originally produced by the Bellagio group in but updated regularly since.

Postpartum Haemorrhage Initiative

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.


Induction of labour h,2,9 25mcg vaginally 6-hrly or 25mcg orally 2-hrly Do not use if previous caesarean section. Share this page Facebook Share this page on Twitter Print this page. Human Reproduction, ; Kapp et al.

Jessica MorrisProject Manager What is postpartum haemorrhage? A simplified dosage chart for non-doctors is also available here. Pregnancy Termination a,b,1 1st Trimester. A full pictorial guide on how to safely make up a ml batch figk a 1 microgram per ml solution of misoprostol for oral administration can be found here.

For fetal death in the third trimester see ‘Induction of Labour’ below. The most common cause of PPH is poor contraction of the uterus uterine atony.

Misoprostol Dosage Chart – new release! | FIGO

Skip to main content. Intrauterine fetal death f,g,1,5,6. A detailed description of the treatment can also be found here Cervical ripening for surgical abortion a,d weeks: Misoprostol is a very powerful stimulator of uterine contractions in late pregnancy and can cause fetal death and uterine rupture if used in high doses.

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

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