How effective is misoprostol for incomplete abortion?
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Expectant management, misoprostol, and vacuum aspiration are all reasonable options for women with incomplete miscarriage. Misoprostol increases complete miscarriage rates over expectant management and can often avoid the need for surgical intervention. Both oral and vaginal misoprostol have similar efficacy in treating incomplete abortion, but the oral regimen is associated with a significantly higher incidence of diarrhea. There is no good evidence to support one dose of misoprostol over another; 600 and 800 mcg are commonly used doses.
Evidence Based Practice 15(12): 05.