Misoprostol is a prostaglandin E1 analog used in obstetric and gynecologic practice for its uterotonic and cervical-ripening actions. Misoprostol is useful for elective medical abortion, cervical ripening before the surgical abortion, evacuation of the uterus in cases of embryonic or fetal death, and induction of labor. The drug may also be used to treat and even prevent postpartum hemorrhage. Also has FDA-approved indications for the prevention and treatment of gastric ulcers associated with the use of NSAIDs.