I am going by your thread title of missed abortion with cytotec induction. So, the MD has made a diagnosis of missed abortion. A missed abortion is defined as fetal death that occurs prior to the completion of 20 weeks of gestation. The pregnancy has already been naturally “’terminated.” The problem is that the dead fetus has not been expelled by the body. Abortion, as per PCS definition is defined as artificially terminating a pregnancy. That is not the case here- again, the pregnancy has already been naturally terminated. The intent of the procedure is to expel the dead fetus, not end an active pregnancy.Therefore, I’d use induction of labor with cytotec, with manual delivery.