Sublingual Misoprostol Versus Standard Surgical Care for the Treatment of Incomplete Abortion

Inclusion Criteria: * Uterine size no larger than 12 weeks LMP at time of presentation for care. * Past or present history of vaginal bleeding during pregnancy. * Open cervical os. * If ultrasound used evidence of incomplete abortion with substantial debris in the uterus. * All women would have been advised to have surgical evacuation of the uterus if misoprostol was not available. * General good health. * Willing to provide contact information for purposes of follow-up. * Also in Egypt: 21 years of age or over or parental permission (there is no minimum age requirement in Niger, Mauritania and Senegal). Exclusion Criteria: * Contraindications to study drug * Signs of severe infection, defined as at least one of the following: 1) foul smelling discharge, 2) fever \> 38 degrees C , 3) uterine tenderness * Hemodynamic disturbances (pulse \>110/min and systolic bp \<100) * Have an IUD in place; (the IUD may be removed making the woman eligible) * Suspected ectopic pregnancy