Clark, Shelley; Blum, Jennifer; Blanchard, Kelly; Galvão, Loren W.; Fletcher, Horace

Misoprostol use in obstetrics and gynecology in Brazil, Jamaica, and the United States nbsp;- nbsp;[Utilización de misoprostol en obstetricia y ginecología en Brasil, Jamaica y Estados Unidos] [L'utilisation du misoprostol en obstétrique et en gynécologie au Brésil, en Jamaïque et au Etat-Unis]
Clark, Shelley; Blum, Jennifer; Blanchard, Kelly; Galvão, Loren W.; Fletcher, Horace - 2002 - International Journal of Gynecology and Obstetrics, 76, 65-74

Keywords : biology; drug induced abortion; family planning; health; induced abortion; misoprostol; physiology; postconception fertility control; prostaglandins; reproductive health [women]; research methodology; sampling studies; studies; surveys; vaginal misoprostol; women
Countries : Brazil; Caribbean; caribbean; Developed countries; Developed Countries; Developing Countries; Jamaica; Latin America; North America; North, America; South America; United States

Abstract : The aim was to investigate the current clinical use of misoprostol for the treatment of a range of reproductive health (RH) indications by providers in Brazil, Jamaica, and the US. Using a `snowball' sampling technique, the authors surveyed 228 gynecologists and obstetricians in Brazil (n = 123), Jamaica (n = 52), and the US (n = 53). Providers use misoprostol for labor induction (46%), postpartum hemorrhage (8%), intrauterine fetal death (61%), cervical priming (21%), missed abortion (57%), and incomplete abortion (16%) as well as first and second trimester abortion induction (27% and 13%, respectively). There is a considerable variation in the regimens used; moreover, the regimens commonly used in clinical practice often differ from those recommended in the medical literature. While misoprostol is an appealing alternative for many RH indications in developing countries, the varied regimens and lack of registration raise critical medical and policy questions. (author's)

Web site : http://www.sciencedirect.com/science/journal/00207292
Notes : Inglés/anglais/English, nbsp;Abstract : Popline (http://db.jhuccp.org/popinform/basic.html) - PIP 163575