Serious adverse events associated with the use of misoprostol alone for cervical preparation prior to early second trimester abortions (12-16 weeks).

摘要

We write to correct an inadvertent misstatement in our recent article [1]. In it, we stated that "patients generally prefer a 1-day procedure which can be performed with misoprostol, but not with laminaria." Use of same-day laminaria is an option. While it is true that patients generally prefer a 1-day procedure, it is not true that this can only be achieved with same-day misoprostol. The use of same-day laminaria for this purpose is also available, safe and effective [2-4]. Indeed, the Society for Family Planning guidelines for cervical preparation before abortions at 20 weeks state that early in the second trimester, overnight dilation is not required [5]. In our clinical setting, we have chosen not to utilize single-day cervical preparation with laminaria for reasons related to procedure pain and cost as well as staffing and patient flow. We apologize for any confusion this may have caused.