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Misoprostol is a prostaglandin E 1 analogue, which is effective, cheap, and can be used safely for a variety of obstetric and gynaecological indications. The uterotonic action of misoprostol was discovered as a side effect of its main intended use of treating peptic ulcer. Threats of boycott activities from antiabortion groups have allegedly prevented it being marketed for use in gynaecology. The uterotonic properties of misoprostol can reduce mortality in two ways. Firstly, the drug can be used to terminate unwanted pregnancies.

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