The effect of induction duration on postabortal hemorrhage in second-trimester pregnancy termination with misoprostol

Objective: The aim was to investigate how the duration of induction affects postabortion hemorrhage in second-trimester pregnancy terminations using misoprostol. Methods: This single-center retrospective cohort study conducted between April 2020 and 2021 at a university hospital. Singleton pregnant women having gestational age 13–26 weeks being hospitalized for termination were included study. misoprostol administered 200 µg every 4 hours intravaginally patients already diagnosed with miscarriage, 400 3 all remaining patients. Estimated blood loss volume (EBLV) calculated formula previously defined by Stafford et al. A total 117 singleton Of these, 78 aborted within 0–24 (Group 2). 39 more than 24 1). Results: EBLV higher group (p=0.003). In addition, rate ≥500 cc ≥1000 also significantly (p values 0.049 0.016, respectively). After adjusting potential confounder factors, probability found be (adjusted OR: 2.720, 95% CI: 1.12–6.58 adjusted 6.987, 1.25–38.98, Conclusion: Postabortion risk whose period lasted longer However, there no deterioration patient’s clinical status increase transfusion rates. Care should taken regard vaginal bleeding applications lasting hours.