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Gynaecology & Obstetrics General 9abacba9

What dose of misoprostol is used orally to control bleeding in post paum hemorrhage?

A
400 micrograms
B
600 micrograms
C
800 micrograms
D
1000 micrograms
High-Yield Explanation
Ans: B. 600 micrograms(Ref Williams 24/e 1785)Approved dose of misoprostol in emergent management of postpaum hemorrhage = 600 pg.Misoprostol (Cytotec):Synthetic prostaglandin E1 analogue.Effective in prevention & treatment of atony & postpaum hemorrhage.Derman (2006) compared a 600 ug oral dose given at delivery against placebo and found that the drug decreased hemorrhage incidence from 12 to 6 percent and that of severe hemorrhage from 1.2 to 0.2 percent.

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