Bibliographic Info
GuidelineAbortion care guideline, 2nd ed
Year of Publication2024
Issuing InstitutionWorld Health Organization
Recommendation
Status
Maintained
Recommended in favor
Conditional
Certainty of evidence
Low
For the medical management of incomplete abortion at < 14 weeks uterine size: Suggest the use of 600 μg misoprostol administered orally or 400 μg misoprostol administered sublingually.
Notes and Remarks
- 1.In this guideline, duration of pregnancy (gestation) is the size of the uterus, estimated in weeks, based on clinical examination, that corresponds to a pregnant uterus of the same gestational age dated by last menstrual period (LMP).
- 2.Repeat doses of misoprostol can be considered when needed to achieve success of the abortion process. In this guideline we do not provide a maximum number of doses of misoprostol. Health-care providers should use caution and clinical judgement to decide the maximum number of doses of misoprostol in pregnant individuals with prior uterine incision. Uterine rupture is a rare complication; clinical judgement and health system preparedness for emergency management of uterine rupture must be considered with advanced gestational age
- 3.Recommendation 1a is an updated recommendation from the WHO 2012 Safe abortion guidance. The option of 400–800 μg vaginal misoprostol has been removed from this updated recommendation.
Also Featured In
This recommendation also appears in the following guidelines:
Originally Developed
Guideline
Medical management of abortion
Year2018
InstitutionWorld Health Organization
Guideline
Abortion care guideline
Year2022
InstitutionWHO