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Is ultrasound necessary prior to and after the use of misoprostol for incomplete abortion?

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Is ultrasound necessary prior to and after the use of misoprostol for incomplete abortion?

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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.

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