Misoprostol versus Suction Evacuation in the Management of Patients with Incomplete Abortion: A Scoping Review

Abstract

Abstract Suction and evacuation may not always be a viable option when treating partial abortions, however medical management can be used in some cases. Hence, oral misoprostol is a good option, provided that women have access to information, skilled care, and follow-up. The objective of this study was to evaluate the efficacy of misoprostol with respect to Manual vacuum aspiration in the management of patients with incomplete abortion. To find pertinent research articles and gray literature on the topic, a scoping review using searches was conducted using the JBI Three-Step Approach. Ten papers from 2010 to 2022 were found in the PubMed and Embase databases. Data compiled from several earlier studies reveals that misoprostol is equally effective as suction and evacuation with, overall satisfaction with misoprostol is equal to that of suction and evacuation, but has demonstrated higher side effects. Its accessibility has also helped women from undergoing abortions by illegal and septic means. The scoping review’s conclusion is that oral misoprostol is a viable approach for managing incomplete abortions. There is a requirement for numerous researchers to carry out in rural and urban areas. Medical methods can avoid surgery and surgery-related danger, and the cost of management can be decreased.