Is ultrasound necessary prior to and after the use of misoprostol for incomplete abortion?
No, ultrasound is not required when offering misoprostol for treatment of incomplete abortion. An incomplete abortion can be diagnosed by clinical history and examination; a complete evacuation following misoprostol treatment can be assessed using the same set of clinical techniques. The biggest drawback in use of ultrasound is over-interpretation of normal amounts of debris in the uterus, leading to unnecessary surgical completion.