Medical Termination of Pregnancy (MTP) Kit Dosing Recommendations

Important Cautions and Alternative Options

Misoprostol should be avoided in women with previous cesarean delivery due to the risk of uterine rupture 2, 3
High-risk patients should be managed in experienced centers with appropriate emergency support services 1, 5
The European Society of Cardiology recommends that high-risk patients be managed with alternative options such as dilatation and evacuation, which is the safest procedure for high-risk patients in both first and second trimesters 1, 5
For patients where medical termination is not appropriate, surgical evacuation has a lower risk of prolonged bleeding, according to the American Academy of Family Physicians 2, 3

Gastrointestinal symptoms (nausea, vomiting, diarrhea) are common side effects of misoprostol, as reported by the European Heart Journal 1