New figo guidelines for misoprostol use 2023. html>px Mifepristone dose. Aborto perdido / Embarazo anembrionado In 2012, the International Federation of Obstetrics and Gynecology (FIGO) produced a chart detailing recommended dosages of misopros-tol when used alone, for a variety of gynecologic and obstetric indica-tions. Role of combination of mifepristone and misoprostol verses misoprostol alone in induction of labour in late intrauterin fetal death: A prospective study. EW INDICATION: SECONDARY PREVENTION OF . Jun 23, 2017 · In 2012, the International Federation of Obstetrics and Gynecology (FIGO) produced a chart detailing recommended dosages of misoprostol when used alone, for a variety of gynecologic and obstetric indications. October 2023 The association between normal 50-g glucose challenge test results and risk for future metabolic morbidities: A retrospective cohort study Misoprostol ONLY Dosing Chart (For use ONLY when mifepristone is not available) Recommended Regimens 2023 ≤12 weeks 13-17 weeks 18-24 weeks 25-27 weeks ≥28 weeks Postpartum Use Induced Abortion Misoprostol 800μg BU/SL/PV every 3 hours until expulsion1 Induced Abortion Misoprostol 400μg every 3 hours until expulsion BU/SL/PV4 Induced Abortion Mar 17, 2022 · Read the full supplement. Jun 23, 2017 · June 23rd, 2017. ) It is important to emphasize that misoprostol can be used in the second trimester in women with a previous cesarean section, since most studies point to a low risk of uterine rupture. In 2012, the International Federation of Obstetrics and Gynecology (FIGO) produced guidelines for the prevention and treatment of PPH with misoprostol along with a chart detailing recommended dosages of misoprostol when used alone for a variety of gynecologic and obstetric indications. A large syringe works well to mix, store, and dispense the solution. The dose of misoprostol can be repeated to achieve abortion success. T o focus efforts on up-to-date diagnosis, staging, and management, the International TXA plus misoprostol versus placebo plus misoprostol. 18-24. Cochrane Database of Systematic Reviews, 2010 e Dabash et al. Int J Gynecol Obstet. 14 They should hold two tablets in each cheek or four misoprostol (33 trials; n ¼ 6110), oxytocin (6 trials; n ¼ 737 200 with rupture of membranes), or mechanical methods (6 trials; n ¼ 2993). Weeks and An{\'i}bal Fa{\'u}ndes and Kristina Gemzell misoprostol compared to misoprostol-only regimens. FIGO is a professional organisation that brings together more than 130 obstetrical and gynaecological associations from all over the world. . The key findings were that many countries lacked comprehensive, up‐to‐date, evidence‐based national guidelines providing guidance on misoprostol use; recommended regimens were very different in the national guidelines as well as between international and regional guidelines that are most often used as Mar 9, 2022 · The WHO guidelines, based on the latest scientific evidence, emphasise simple primary-care-level interventions including task sharing, access to medical abortion pills, and availability of accurate information. 13-17. Guideline development group at WHO 33 B. In Brief: Revised and Expanded Guidance on Misoprostol-Only Recommended Regimens. Traitement de l’hémorragie du post-partum (HPP) Misoprostol 800 μg SL x 1. A single dose of misoprostol 600 μg orally is indicated for. May 14, 2024 · 2023, there will be an estimated 66,200 new cases and 13,030 related deaths in the United States [ 3 ]. 800μg sl every 3 hours or pv*/bucc every 3–12 hours (2–3 doses) The use of misoprostol has also been advocated. prevention of PPH in settings where oxytocin is not available. Vaginal administra-tion may be more comfortable than sublingual dosing if the patient is nauseated. b The minimum recommended interval between use of mifepristone and misoprostol is 24 hours. 1%) patients were upstaged, while 11(4. Oct 27, 2023 · The aim of much of the clinical literature on misoprostol alone was to establish recommended dosing and administration routes; as a result, clinical data on the effectiveness of currently endorsed misoprostol-alone protocols are sparse. Essential interventions to reduce this number, and the scores of women that live with short and long-term consequences as a result of Jun 30, 2021 · FIGO. Sep 1, 2017 · DOI: 10. < 13 semanas de gestação. Misoprostol is inexpensive, stable at room temperature, and available in more than 80 countries, making it particularly useful in resource-poor settings. 7×4) low cost tablet and widely available: Use first given that it is safe and effective. Monitor fetal heart rate with cardiotocography and wait at least 6 hours after prostaglandin removal before starting oxytocin. 7 This revised stage definition incorporates pathologic variables such as histological classification, grade, and lymphovascular space invasion (LVSI 0 μg cada 3 horas BUC/SL/PV hasta la expulsión. Arulkumaran published I025 THE GLOBAL CHALLENGE OF PPH AND NEW FIGO GUIDELINES ON THE PREVENTION AND TREATMENT OF PPH WITH MISOPROSTOL | Find, read and cite all May 3, 2022 · FIGO and ICM have developed a generic PPH protocol and clinical pathway tool, based on World Health Organization PPH recommendations, to inform a systematic approach towards the development of policy for PPH management in health facilities. Results. Feb 19, 2013 · Abstract. The recommendation in this document thus supersedes the previous WHO recommendation for the prevention of PPH as published in the 2012 guideline, WHO recommendations for the prevention and The analysis was restricted to participants who reported using misoprostol alone and was performed between January 6, 2022 and September 8, 2023. > 26 semanas de gestação8. Induced Abortion. Scoping and prioritization of the topics covered in the 0 μg cada 3 horas BUC/SL/PV hasta la expulsión. At much smaller doses, misoprostol is useful for cervical ripening and inducing labor in full-term pregnancies. FIGO is dedicated to the improvement of women's health and rights and to the reduction of disparities in healthcare available to women and newborns Oct 8, 2023 · Misoprostol ($0. Consider using 400mcg misoprostol 1-2. Cervical Preparation Before D&E (Use of multiple modalities is recommended) Osmotic Dilators 1-2 days before and Misoprostol 400μg BU/SL/PV 1-2 hours before the procedure. The protocol, now available online in English and French, provides examples of key definitions, early Oct 1, 2022 · Recommendation: Mifepristone 200mg orally followed 1-2 days later by misoprostol 800mcg buccally, sublingually or vaginally. 2004;86:267– 275. Morris and Beverly Winikoff and Rasha Dabash and Andrew D. The most common adverse effects are transient shivering and pyrexia. reproductiveaccess. London: FIGO; 2015. Recommended Regimens 2023 ≤12 weeks 13-17 weeks 18-24 weeks 25-27 weeks ≥28 weeks Postpartum Use Induced Abortion Mifepristone 200mg PO Wait 1-2 days then, Misoprostol 800μg BU/SL/PV x1 ≥10 weeks give misoprostol BU/SL/PV every 3 hours until expulsion1 Induced Abortion Mifepristone 200mg PO Wait 1-2days then, Misoprostol 400 every 3 May 26, 2023 · A randomized controlled trial comparing two protocols for the use of misoprostol in midtrimester pregnancy termination. 3% vs. Some areas were MISOPROSTOL-ONLY RECOMMENDED REGIMENS 2017 References a pvWHO Clinical practice handbook for safe abortion, 2014 b von Hertzen et al. 2016 FIAPAC abstract c Gemzell-Danielsson et al. The chart, divided by stages of pregnancy, provides Mifépristone 200 mg PO Attendre 1 à 2 jours, puis, misoprostol 25-50 μg toutes les 4 heures PV OU misoprostol 50-100 μg toutes les 2 heures PO6. oral misoprostol, and a tem-perature of over 38°C in around 5%. The Committee on Safe Abortion Committee is part of the Division of Sexual and Reproductive Health and Wellbeing. Every day, approximately 830 women die from complications of pregnancy and childbirth and postpartum haemorrhage is the leading cause. 12181 PMID: 28643396. After 9 weeks gestation, routinely using at least two doses of misoprostol, administered 3-4 hours apart, improves abortion success rates. There was no important difference or no evidence of an important difference, between interventions for blood loss volume, need for additional pharmacological or surgical management. It requires a change in our perception of a staging system, from a traditional purely anatomical borders-based system to an integrated staging system integrating anatomical borders and tumor biology as The World Health Organization (WHO), the International Federation of Gynecology and Obstetrics (FIGO), and the Society of Obstetricians and Gynecologists of Canada all endorse it for this use (SOGC). 10. 182). These international guidelines were all issued prior to the 2010 publication of May 16, 2024 · In 2023, the FIGO staging system for endometrial cancer underwent significant modifications from the 2009 system, centralizing histopathological findings in the reformed FIGO staging system. FIGO’s updated recommendations for misoprostol used alone in programs to broaden access and availability of misoprostol for each of its women’s health indications. The new system represents a significant departure from traditional endometrial and other gynecological carcinoma staging systems which are agnostic of parameters such as tumor type, tumor grade, lymphovascular space invasion, and molecular alterations 76,000 women and 500,000 babies die each year from hypertension and pre-eclampsia during pregnancy (HAP), making this disorder one of the leading causes of maternal and perinatal morbidity and mortality globally. Some areas were Jun 27, 2024 · Berek JS, Matias-Guiu X, Creutzberg C, et al; Endometrial Cancer Staging Subcommittee, FIGO Women’s Cancer Committee. The life expectancy of women who develop preterm pre-eclampsia, requiring delivery at <37 weeks, is reduced on an average by 10 years. Label the solution with the concentration. 800mcg sublingually 3-hrly or vaginally/buccally every 3-12hrs (2-3 doses) Ideally used 48h after mifepristone 200mg. 1). PPH . Uso pós-parto. WHO Secretariat 34 Annex 2. Int J Gynaecol Obstet 2023;162(2):383–394 [Published correction appears in Int J Gynaecol Obstet 2023. IJGO, 2007 d Sääv et al. Interrupção da gravideza,b,1. For almost 70 years, FIGO’s World Congresses have brought together Recommended Regimens 2023. 7 This revised stage definition incorporates pathologic variables such as histological classification, grade, and lymphovascular space invasion (LVSI Misoprostol ONLY Dosing Chart (For use ONLY when mifepristone is not available) Recommended Regimens 2023 ≤12 weeks 13 - 17 weeks 18 - 24 weeks 25 - 27 weeks ≥28 weeks Postpartum Use Misoprostol 25-50 μg toutes les 4 heures PV9 OU Misoprostol 50-100 μg toutes les 2 heures PO5 Taitement de l’hémoagie du post-partum (HPP) Misoprostol 800 µg SL x 1 Avortement incomplet Misoprostol 400 μg SL x 5 Misoprostol 600 μg PO x 5 Misoprostol 800 μg BU x 1 dose4 Avortement incomplet Misoprostol 400 μg toutes les 3 heures BU/SL 800mcg sublingually 3-hrly or vaginally/buccally every 3-12hrs (2-3 doses) Ideally used 48h after mifepristone 200mg. Esperar 1-2 días, V O misoprostol 50-100 μg cada 2. Jul 2, 2021 · The Joint statement of recommendation for the use of uterotonics for the prevention of postpartum haemorrhage and the Joint statement of recommendation for the use of tranexamic acid for the treatment of postpartum haemorrhage are the culmination of strong and effective collaboration between FIGO and ICM – two of the world’s leading organisations representing specialists in midwifery Dissolve 100 μg of misoprostol in 20 mL of warm water or 200 μg of misoprostol in 40 mL of warm water, yielding a concentration of 5 μg/mL of misoprostol. Ethical issues in obstetrics and gynecology. Oxytocin after the administration of misoprostol, wait 4 hours before starting the oxytocic perfusion. We systematically reviewed PubMed articles published between 2008 and 2022 and reviewed reference lists of included articles to Mar 1, 2023 · FIGO. Jun 23, 2017 · University Medical Center, Utrecht, Netherlands. Committee Objectives. This division will work to empower women to make conscious, healthy and respectful choices about their sexuality, relationships and reproductive lives, including when, if and how they wish to become pregnant. Our hospital-based standard protocol of vaginal 800 μg misoprostol is that recommended by FIGO for medical treatment of first-trimester early pregnancy loss . 12181. After incorporating molecular analysis into the 2023 staging system, 6(2. BOX 6 FIGO recommends administration of tranexamic acid as soon as the diagnosis of PPH is made, as long as this is within 3 h postpartum. Participants in the WHO Technical Consultation (13–14 April 2010) 33 C. N. The 2023 FIGO World Congress will be hosted by FIGO and the Collège National des Gynécologues et Obstétriciens Français (CNGOF). One gram of tranexamic acid, intravenously over 10 min is to be given regardless of the cause of PPH. 13–26 semanas de gestação. Misoprostol has 4 primary effects, including cytoprotection of the gastrointestinal mucosa, uterotonic properties, diarrhea, and Jun 22, 2017 · The new FIGO 2017 misoprostol-only dosage chart has been released! An update from the widely used 2012 chart detailing recommended dosages of misoprostol when used by itself for a variety of gynecological and obstetrical indications has been revised and expanded by an expert group and is now available online: Published as an open access special Of countries that do have national guidelines, 41% don’t include advice on misoprostol to prevent and treat PPH; 42 (61%) of respondents reported that misoprostol was listed on their national EML; 29% reported that misoprostol was not widely available; 28% reported a lack of supportive policy or programs for use of misoprostol; Read the full Jun 23, 2017 · The “FIGO Misoprostol-only Recommended Regimens 2017” chart – published in the International Journal of Gynecology and Obstetrics, accompanied by a commentary – is the result of extensive collaboration between an international expert group, including Gynuity Health Projects. sublingual administration may cause more side effects, it also may be more practical, especially if the patient is bleeding. FIGO’s vision is that women of the world achieve the highest possible standards of physical, mental, reproductive and sexual health and wellbeing throughout their lives. FIGO recognises the persistent need for induced abortion and post-abortion care beyond 12 weeks of pregnancy. Obstetrics Aug 9, 2012 · WHO, FIGO, RCOG, and the American College of Obstetricians and Gynecologists (ACOG) acknowledge that misoprostol is effective in treating PPH and recommend that it be used for treatment in situations where standard uterotonics are unavailable or unfeasible to use . 25-27 weeks. org. The International Federation of Gynecology and Obstetrics (FIGO) has updated its guidance on misoprostol-only regimens for several obstetric and gynecologic indications. ≤12 weeks. FIGO’s Committee on Childbirth and Postpartum Haemorrhage (formerly Safe Motherhood and Newborn Health), in collaboration with global experts, has published a new supplement in the 157 (S1) issue of the International Journal of Gynecology and Obstetrics (IJGO) on 17 March 2022. Abstract. In light of new evidence1–13 and. Mifepristone 200mg PO Wait 1-2 days then, Misoprostol 50-100μg every 4 hours PV OR Misoprostol 50-100μg every 2 hours PO6,9. • Oxytocin given between delivery of the infant and the placenta is the most effective intervention to prevent postpartum hemorrhage. Ame J Obstet Gynecol. TXA plus misoprostol was compared to placebo plus misoprostol in low/middle income countries. Nov 1, 2018 · The key findings were that many countries lacked comprehensive, up-to-date, evidence-based national guidelines providing guidance on misoprostol use; recommended regimens were very different in May 16, 2024 · In 2023, the FIGO staging system for endometrial cancer underwent significant modifications from the 2009 system, centralizing histopathological findings in the reformed FIGO staging system. Jun 26, 2019 · This new protocol showed a comparable efficacy to the hospital-based standard vaginal 800 μg misoprostol protocol (82. FIGO's updated recommendations for misoprostol used alone in gynecology and obstetrics. REGIMENS. Some areas were An update from the widely used 2017 guidance, the 2023 charts detail recommended dosages of mifepristone and misoprostol when used for a variety obstetrical indications, including induced abortion, missed abortion, incomplete abortion, cervical preparation before aspiration and D&E, fetal demise, induction of labour, prophylaxis and treatment of postpartum haemorrhage. 5,9 Aborto inducido Mifepristona 200 mg VO. Esperar 1-2 días, luego: misoprostol 50-100 μg cada 4 horas PV O misoprostol 50-100 μg cada 2 horas VO. 2. Oct 9, 2023 · The objective of this Clinical Recommendation is to review relevant literature and provide evidence-based recommendations for medication abortion between 14 0/7 and 27 6/7 weeks of gestation, with a focus on mifepristone-misoprostol and misoprostol-only regimens. 2017 Sep;138 (3):363-366. 15193. A number of randomized trials and systematic reviews have evaluated its use in Feb 19, 2024 · Misoprostol is exclusively approved by the US Food and Drug Administration (FDA) for the prevention and treatment of gastric ulcers induced by nonsteroidal anti-inflammatory drugs (NSAIDs) in patients who are taking NSAIDs and are at high risk for ulceration. txt) or view presentation slides online. This protocol was effective Mifepristone 200mg PO Wait 1-2 days then, Misoprostol 200μg every 4 hours until expulsion. 2. Education of women and birth attendants in the proper use of misoprostol is essential. Updating of the guidelines 30 References 31 Annex 1. Int J Gynaecol Obstet. Missed abortion. and can be simply treated using anti-pyretics and physical cool-ing. As time-sensitive essential health care, FIGO has called for the removal of barriers to access and upholds the stance that access to 2 days ago · Welcome to FIGO (The International Federation of Gynecology and Obstetrics) - the only organisation that brings together professional societies of obstetricians and gynecologists on a global basis. pdf), Text File (. 5Aborto inducido Mifepristona 200 mg VO. 7 This revised stage definition incorporates pathologic variables such as histological classification, grade, and lymphovascular space invasion (LVSI Jun 1, 2017 · The guidance, available in the form of a chart and divided by stages of pregnancy, provides recommendations for dosages and routes of administration for misoprostol use in obstetrics and gynecology, including: medically induced abortion, medical management of miscarriage, cervical preparation for surgical abortion, fetal death, induction of FIGO-Miso-Chart-11-2023 FINAL (1) - Free download as PDF File (. https://www. ou VV*/VB a cada 3–12 horas (2–3 doses) Jun 23, 2017 · In 2012, the International Federation of Obstetrics and Gynecology (FIGO) produced a chart detailing recommended dosages of misoprostol when used alone, for a variety of gynecologic and obstetric indications. The vast majority of these deaths are preventable. Panda S, Jha V, Singh S. μg cada 4 horas BUC/SL/PV hasta la expulsión. <13 weeks’ gestation. Pregnancy termination1. 2,3 Misoprostol may be especially useful in the resource-limited countries where alternative prostaglandins (Prostaglandin E2) preparations are Key Points for Practice. Mar 27, 2023 · The International Journal of Gynecology and Obstetrics (IJGO) is proud to announce the publication of its latest supplement: FIGO’s Good Practice Recommendations on the use of progesterone in the management of recurrent first-trimester miscarriage. November 2023 Vaccination during pregnancy: A golden opportunity to embrace. Published online October 6, 2023. Lancet, 2007; Sheldon et al. • Tranexamic acid given within Mar 7, 2014 · On the occasion of International Women’s Day (8 March), the International Confederation of Midwives (ICM) and the International Federation of Gynecology and Obstetrics (FIGO) are pleased to launch a joint statement on the use of misoprostol for the treatment of postpartum haemorrhage. BU/SL/PV5,9. All symptoms are transient. doi: 10. The FIGO Women's Cancer Committee appointed a Subcommittee on Endometrial Cancer Staging in October 2021, represented by the authors. The “FIGO Misoprostol-only Recommended Regimens 2017” chart -- published MISOPROSTOL-ONLY RECOMMENDED REGIMENS 2017. The supplement provides a comprehensive Email: jessica@figo. It aims to provide information to birth attendants and pregnant individuals on optimal perinatal care while avoiding unnecessary obstetrical intervention. More research is needed on how to reduce the risk factors for. In light of new evidence 1-13 and through expert deliberation, this chart has now been revised and expanded (Fig. ≥28 weeks. REGIMES RECOMENDADOS 2017. 73. Epub 2017 Jun 23. RECOMMENDED. Other concentrations may be used. Prophylaxie de l’hémorragie du post-partum (HPP) Misoprostol 600 μg SL x 1. 8. ]. luego: misoprostol 200. 1002/ijgo. This is the author manuscript accepted for publication and has undergone Nov 7, 2023 · An updated International Federation of Gynecology and Obstetrics (FIGO) staging system for endometrial carcinoma was introduced in June 2023. 12181 Corpus ID: 4915909; FIGO's updated recommendations for misoprostol used alone in gynecology and obstetrics @article{Morris2017FIGOsUR, title={FIGO's updated recommendations for misoprostol used alone in gynecology and obstetrics}, author={Jessica L. May 16, 2024 · In 2023, the FIGO staging system for endometrial cancer underwent significant modifications from the 2009 system, centralizing histopathological findings in the reformed FIGO staging system. WHO recommendations for advance misoprostol distribution to pregnant women for prevention of PPH in response to the availability of new evidence. parto (HPP)Misoprostol 600 μg SL . 5,9Aborto inducido Mifepristona 200 mg VO. Jun 20, 2023 · The goals of the new staging system are to better define these prognostic groups and create substages that indicate more appropriate surgical, radiation, and systemic therapies. IJGO, 2015 3 Advancing New Standards in Reproductive Health (ANSIRH), Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, Oakland, CA, USA. In light of new evidence1–13 and through expert deliberation, this chart has now been revised and expanded (Fig. International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics , 23 Jun 2017, 138 (3): 363-366. 2015;128:194–195. Completed surveys were received from 69 societies, for a 53% response rate. www. 800 μg VSl a cada 3 horas. FIGO staging of endometrial cancer: 2023. org Give medication (or prescription for pharmacy) and directions for misoprostol administration: Buccal/sublingual administration: The patient will insert four 200-microgram misoprostol tablets 24-48 hours after taking mifepristone. figo. Mifepristone 200 mg is as effective as 600 mg when used in a combination with misoprostol [14]. [1] Clinicians also use misoprostol as expectant management of missed and incomplete abortions. Overall, the researchers concluded that low dose Las tablas del 2023 son una actualización de la guía ampliamente utilizada publicada en el 2017 y detallan las dosis recomendadas de mifepristona y misoprostol cuando se utilizan para una variedad de indicaciones obstétricas, incluyendo aborto inducido, aborto retenido, aborto incompleto, preparación cervical antes de la aspiración y DyE, muerte fetal, inducción del parto, profilaxis y We suggest the use of 200 mg mifepristone administered orally, followed 1–2 days later by repeat doses of 400 μg misoprostol administered sublingually or vaginally every 4–6 hours. PPH. 1. Postpartum Use. In a randomized controlled trial (RCT) of mifepristone 600 mg compared Sample instructions for patients receiving medication abortion with misoprostol-only. Mifepristone 200mg PO Wait 1-2 days then, Misoprostol 800μg BU/SL/PV x1 ≥10 weeks give 800 μg misoprostol BU/SL/PV every 3 hours until expulsion1. Conclusion The new FIGO staging system has considerably reshaped the classification of endometrial cancer. c,2 (1st Trimester) 800mcg vaginally 3-hrly (x2) or 600mcg sublingual 3-hourly (x2) Give 2 doses and leave to work for 1-2 weeks (unless heavy bleeding or infection) Incomplete abortion. DOI: 10. 2%) were downstaged. Postpartum Haemorrhage. Oct 1, 2012 · Request PDF | On Oct 1, 2012, S. 2017;138:363–366. 2%; respectively, P = 0. misoprostol 200 μg cada 4 horas BUC/SL/PV hasta la expulsión. (17 17 Morris JL, Winikoff B, Dabash R, Weeks A, Faúndes A, Gemzell- Danielsson K, et al. Exposure Self-managed medication abortion using Mar 17, 2022 · FIGO Safe Motherhood and Newborn Health Committee; International Federation of Gynecology and Obstetrics. Mar 17, 2022 · December 2023 FIGO best practice guidance in surgical consent. 6,9 Profilaxis de la hemorragia posparto (HPP) Misoprostol 600 µg SL única dosis. The 2023 FIGO staging system for EC harmonizes and integrates old and new knowledge on anatomic, histopathologic, and molecular features (12). ccal(BU) Sublingual (SL) Per Vagina (PV) Per Oral (PO)<12 week. Methods. 1 In all comparisons, oral misoprostol was at least as effective and safe as oxytocin, dinoprostone, and vaginal misoprostol, and in some cases superior. 2,14 There are only 2 clinical trials on misoprostol-alone regimens that use the currently endorsed regimen A number of randomized trials and systematic reviews have evaluated its use in obstetric and gynecologic conditions. FIGO's updated recommendations for misoprostol used alone in gynecology and obstetrics: 2017: Morris JL, Winikoff B, Dabash R, et al. induced & missed abortion can be self-managed at home. Abortion care in this gestational age range should be accessible and facilitated for those who need it, including for post-abortion care or any treatment needed by women and girls who have attempted to self-induce an abortion. Prophylaxis of Postpartum hemorrhage (PPH) Jul 13, 2023 · This review assessed the efficacy and safety of pharmacologic agents (prostaglandins, oxytocin, mifepristone, hyaluronidase, and nitric oxide donors) and mechanical methods (single- and double-balloon catheters, laminaria, membrane stripping, and amniotomy) and those generally considered under the rubric of complementary medicine (castor oil, nipple stimulation, sexual intercourse, herbal Nov 2, 2018 · Both FIGO and WHO produced guidelines for prevention and treatment of PPH in 2012 (in 2017 FIGO produced an updated misoprostol only recommended dosage chart, but no changes were made to the recommended dosages for use of misoprostol for PPH management); therefore, misoprostol can serve as an interesting point of comparison for both The XXIV FIGO World Congress of Gynecology and Obstetrics will be held at the Paris Convention Centre in Paris, France, on 9–12 October 2023. MISOPROSTOL-ONLY. 2002;187(4):853-7. WHO recognizes the crucial role of misoprostol in reproductive health and Apr 22, 2021 · Medical abortion can be provided using tablets of mifepristone and misoprostol in combination or misoprostol alone,’ and the term self-managed abortion as ‘when the pregnant person finds the medication and the information on how to use it and on how to assess eligibility, progress, and outcome by themselves without the intervention of a Feb 19, 2024 · Misoprostol is used to terminate pregnancy in the second trimester as either monotherapy or combined with intramuscular methotrexate. The chart, last revised in 2012, has been expanded to include a new indication for PPH management -- secondary prevention of PPH -- based on evidence from Gynuity’s trials. Jun 27, 2024 · Berek JS, Matias-Guiu X, Creutzberg C, et al; Endometrial Cancer Staging Subcommittee, FIGO Women’s Cancer Committee. The charts have been International Medical Ethics: The FIGO Committee for the Ethical Aspects of Human Reproduction and Women’s Health. Objectives: This guideline presents evidence and recommendations for cervical ripening and induction of labour. Misoprostol should be administered by healthcare workers trained in its use during the third stage of labor, soon after birth of the infant, to reduce the occurrence of PPH [11,12]. Mifepristone and misoprostol: recommended doses, routes, and dosing intervals 2. 13–26 weeks’ gestation. In 2012, the International Federation of Obstetrics and Gynecology (FIGO) produced a chart detailing recommended dosages of misoprostol when used alone, for a variety of gynecologic and obstetric indications. External experts and WHO staff involved in the preparation of the guidelines 33 A. [2] FIGO Committee for the Study of Ethical Aspects of Human Reproduction and Women’s Health. Background: Misoprostol, a prostaglandin E1 analog, stimulates uterine contractility and cervical ripening. Welcome to FIGO (The International Federation of Gynaecology and Obstetrics) - the only organisation that brings together professional societies of obstetricians and gynaecologists on a global basis. Target population: All pregnant patients. August 2023 / www. 2017. Human Reproduction, 2015; Kapp et al. xi po qd px mj ff zh hd jg au