Outline five indications of misoprostol in obstetrics?

1. Induction of labor: Misoprostol can be used to induce labor in cases where it is necessary to deliver the baby before spontaneous labor begins.

2. Management of postpartum hemorrhage: Misoprostol can be used to help control bleeding after childbirth, particularly in cases where other interventions have not been successful.

3. Treatment of incomplete abortion: Misoprostol can be used to help expel the remaining tissue after a miscarriage or incomplete abortion.

4. Cervical ripening: Misoprostol can be used to help soften and dilate the cervix in preparation for labor induction or surgical procedures such as dilation and curettage.

5. Management of missed abortion: Misoprostol can be used to help expel the fetus and placenta in cases of missed abortion, where the pregnancy has stopped developing but the body has not yet recognized the loss.

Five Indications of Misoprostol in Obstetrics:

1. Cervical Ripening and Induction of Labor:
- Softens and dilates the cervix, making it more receptive to labor induction.

2. Postpartum Hemorrhage (PPH):
- Contracts the uterus, reducing hemorrhage and promoting uterine involution.

3. Incomplete Abortion:
- Terminates the pregnancy and promotes expulsion of retained fetal tissue.

4. Termination of Early Pregnancy (Medical Abortion):
- In combination with mifepristone, it induces the termination of pregnancy up to 10 weeks' gestation.

5. Prevention of Postpartum Endometritis:
- As a prophylactic measure after cesarean delivery, it reduces the risk of infection by promoting uterine contraction and expulsion of lochia.