Comparison of sublingual and vaginal routes of misoprostol in termination of first trimester missed abortion

Aim: to compare the sublingual and vaginal routes of misoprostol in termination of first trimester missed abortion. methodology: the study was carried out in the obstetrics & gynecology unit-ii of bahawal victoria hospital bahawalpur,pakistan,having yearly turnover > 3000 indoor patients. results: in vaginal misoprostol group 66.7% cases completely aborted while in sublingual group 73.3% expelled successfully (p=.831). in cases with gestational age upto 9 weeks complete abortion was seen 95%,mean insertion to abortion interval for vaginal and sublingual groups were 13.55 and 13.1 hours respectively (p<0.678). side effects profile was low especially in cases of vaginal group. conclusion: vaginal and sublingual misoprostol were found to have same success rate but former was found to have low side effect profile.