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RELATIONSHIP OF THE USE OF VAGINAL TO SUBLINGUAL MISOPROSTOL IN MISSED ABORTIONS

Dr Zuriat Khan, Dr Zunairah Zafar, Dr Seemab Shahid

Objective: The relationship of the vaginal misoprostol pessary to the sublingual misoprostol in the end of the first trimester missed miscarriage is the aim of the assessment. Material and Method: This study was conducted at Sir Ganga Ram Hospital, Lahore from August 2018 to February 2019. The number of patients, who experienced first trimester miscarriage verified via ultrasounds, were sixty. Results: The average age of the patients enrolled for the research was (30.12 ± 4.94) years. However, in sublingual as well as in vaginal category, the average age was 30.20 & (30.03 ± 4.13) years, respectively. Average pregnancy age was 8.87 weeks, along with seven and thirteen weeks as a minimum and maximum week, respectively. Average period of induction of miscarriage to the expulsion was 13.55 hours, with five hours as minimum time and twenty-four hours as the maximum time. Complete miscarriage was viewed in twenty (66.70%) patients, partial abortion in seven patients (23.3%), while failure of expulsion was seen in three patients. Conclusion: The most powerful, efficacious, inexpensive as well as secure procedure for the cessation of the early trimester missed abortion, up till ninth week of gravidity, was sublingual as well as the vaginal misoprostol regiment having seventy percent of success rate. The drawbacks were relatively additional in case of sublingual route, however, the drawbacks were tolerable, as well as comfortably controllable. Keywords: Dilation & Curettage (D & C), Sublingual & Vaginal, Trimester Abortion.

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