MEDICAL METHOD OF ABORTION WITH METHOTREXATE AND MISOPROSTOL : A PROSPECTIVE STUDY

Dr Malay Sarkar; Dr Jaydeb Mandal; Dr Dibyendu Roy; Dr Sunit Kumar Sarkar

Volume : VIII, Issue : XII, December - 2019

MEDICAL METHOD OF ABORTION WITH METHOTREXATE AND MISOPROSTOL : A PROSPECTIVE STUDY

Dr Malay Sarkar, Dr Jaydeb Mandal, Dr Dibyendu Roy, Dr Sunit Kumar Sarkar

Abstract :

Background : Unsafe abortions are serious health problems in poor population. They depend on quack for abortion and increases hazards. Objectives: To see the efficacy of methotrexate– misoprostol regimen in early abortion. Methodology: This prospective study was conducted in Malda Medical College from January 2017 to December 2018 with 89 women seeking MTP up to 7 weeks gestation. They were given intramuscular methotrexate injection 50 mg per sqm stat and tablet misoprostol 800µg vaginally on day three. If abortion did not occur after 7 days another 800µg misoprostol given vaginally. Results: 86 women (96.629%) had successful abortion within 14 days. Among them 94.18% within 72 hours. Failure rate was 3.27%. None complained of heavy blood loss. Conclusion : Methotrexate–misprostol regimen is low cost, highly efficacious and safe for early MTP.