{
    "abstract": "Improving the care of women who have undergone a spontaneous or induced abortion is an important step in reducing abortion-related morbidity and mortality. Both the International Federation of Gynecology and Obstetrics (FIGO) and the World Health Organization recommend the use of manual vacuum aspiration (MVA) and misoprostol rather than sharp curettage to treat incomplete abortion. MVA was introduced into the public healthcare service in Benin in 2006 and since 2008 misoprostol has been available in 3 large maternity hospitals. The present study opted to use an oral dose of 800 \u03bcg and not to limit to pregnancies of up to 12 weeks, but to include women with second trimester abortions. After 5 years, results show that around three-quarters of the women treated with misoprostol at 13-18 weeks of pregnancy required MVA to complete uterine evacuation and approximately one-quarter had severe bleeding, confirming that the indication of misoprostol for incomplete abortion should be limited to pregnancies of up to 12 weeks.",
    "authors": [
        {
            "affiliation": "Hubert Koutoukou Maga National Teaching Hospital, Cotonou, Benin.",
            "firstname": "Sosth\u00e8ne",
            "initials": "S",
            "lastname": "Adisso"
        },
        {
            "affiliation": "Lagoon Mother and Child Hospital, Cotonou, Benin. Electronic address: bhounkpatin@yahoo.fr.",
            "firstname": "Benjamin I B",
            "initials": "BI",
            "lastname": "Hounkpatin"
        },
        {
            "affiliation": "Lagoon Mother and Child Hospital, Cotonou, Benin.",
            "firstname": "Gounnou D",
            "initials": "GD",
            "lastname": "Komongui"
        },
        {
            "affiliation": "Hubert Koutoukou Maga National Teaching Hospital, Cotonou, Benin.",
            "firstname": "Olivier",
            "initials": "O",
            "lastname": "Sambieni"
        },
        {
            "affiliation": "Lagoon Mother and Child Hospital, Cotonou, Benin.",
            "firstname": "Ren\u00e9 X",
            "initials": "RX",
            "lastname": "Perrin"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.",
    "doi": "10.1016/j.ijgo.2014.03.002",
    "journal": "International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics",
    "keywords": [
        "Benin",
        "Complications",
        "FIGO initiative",
        "Gestational age",
        "Incomplete abortion",
        "Misoprostol",
        "Prevention",
        "Unsafe abortion"
    ],
    "methods": null,
    "publication_date": "2014-05-08",
    "pubmed_id": "24800660",
    "results": null,
    "title": "Introduction of misoprostol for the treatment of incomplete abortion beyond 12 weeks of pregnancy in Benin.",
    "xml": "<Element 'PubmedArticle' at 0x788506cd82c0>"
}