title: Sublingual [corrected] misoprostol as first-line care for incomplete abortion in Burkina Faso.
abstract: OBJECTIVE
  To explore 400-μg sublingual misoprostol as primary treatment in lower-level facilities with no previous experience providing postabortion care.
  
  
  METHODS
  Women presenting with incomplete abortion were offered a single dose of 400-μg sublingual misoprostol. Incomplete abortion was defined as uterine size consistent with fewer than 12 weeks of gestation, open cervical os, and reports of past or present history of vaginal bleeding. Women returned to the clinic 1 week after misoprostol administration for follow-up. At that time, they were discharged if the uterine evacuation was a success or were offered a second follow-up visit or surgical completion if still incomplete.
  
  
  RESULTS
  One-hundred women received misoprostol; outcome data were unavailable for 1 woman. Complete uterine evacuation was achieved for 97 (98.0%) women. Satisfaction was high, with nearly all women indicating that they were "satisfied" (n=57 [57.6%]) or "very satisfied" (n=41 [41.4%]) with their experience. Adverse effects were considered "tolerable" by 72 of 97 (74.2%) women. Ninety-seven of 99 (98.0%) participants indicated that they would choose misoprostol for incomplete abortion care in the future and 95 of 97 (97.9%) stated that they would recommend it to a friend.
  
  
  CONCLUSIONS
  Misoprostol is a viable option for treatment of incomplete abortion at mid-level facilities.
authors.affiliation: Yalgado Ouédraogo University Teaching Hospital, Ouagadougou, Burkina Faso.
authors.forename: Thieba
authors.initials: T
authors.lastname: Blandine
authors.forename: Adama Z
authors.initials: AZ
authors.lastname: Ouattara
authors.forename: Angela
authors.initials: A
authors.lastname: Coral
authors.forename: Cisse
authors.initials: C
authors.lastname: Hassane
authors.forename: Hien
authors.initials: H
authors.lastname: Clotaire
authors.forename: Blami
authors.initials: B
authors.lastname: Dao
authors.forename: Jean
authors.initials: J
authors.lastname: Lankoande
authors.forename: Ayisha
authors.initials: A
authors.lastname: Diop
authors.forename: Jennifer
authors.initials: J
authors.lastname: Blum
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D000027:Abortion, Incomplete / Q000188:drug therapy*; D000286:Administration, Sublingual; D000328:Adult; D000359:Aftercare / Q000379:methods*; D002050:Burkina Faso; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016595:Misoprostol / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D017060:Patient Satisfaction; D011247:Pregnancy; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D016595:Misoprostol