Use of misoprostol for pregnancy termination in women with prior classical cesarean delivery: a report of 3 cases.

BACKGROUND

Misoprostol has been used for induction of labor either as a cervical ripening agent or as an abortifacient. Its use in women with previous cesarean births may be associated with an increased risk of uterine rupture.

CASE: We describe 3 cases of pregnancy termination between 18 and 24 weeks' gestation in women with previous classical cesarean deliveries. Misoprostol was used successfully in all three cases without complications.

CONCLUSION

Judicious use of misoprostol results in successful pregnancy termination in women with previous classical cesarean deliveries without uterine rupture.