Abstract
Oral treatment with 600 mg of mifepristone, followed by 400 mg of misoprostol, has been used for early abortion by hundreds of thousands of women, with success rates ranging from 92 to 97% up to the 49th day of pregnancy w1,2x. Poor cervical dilation may prevent expulsion of gestational tissue, thereby increasing the rates of failure and prolonged heavy bleeding. Laminaria tents have been reported to obviate some of the trauma attributed to forced cervical dilation w3x. We hypothesized that, combined with medical abortion, laminaria use facilitated gestational tissue passage by enhancing cervical dilation. Our study population consisted of 38 women seeking medical abortion within the first 49 days of pregnancy. Each received 600 mg of mifepristone (Apano; Lotus, Taiwan) and, 36–48 h later, 400 mg of misoprostol (Cytotec; Searle, England). The women were randomly assigned to receive medical abortion with laminaria (group A) or without laminaria (group B) at the time of mife-
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