|
|
||||
|
|
|
|
|
|
|
|
|
|
||
|
All publications by Dr. Hern
|
Laminaria in abortion: use in 1368 patients in first trimester. Rocky Mountain Medical Journal 72:390-395, 1975. Multiple laminaria treatment in early midtrimester outpatient suction abortion. W. Hern and A. Oakes. Advances in Planned Parenthood 12:93-97, 1977. Correlation of sonographic cephalometry with clinical assessment of fetal age following early midtrimester D & E abortion. W.M. Hern, W.A. Miller, L. Paine, and K.D. Moorhead. Advances in Planned Parenthood 13:14-20, 1978. Outpatient second-trimester D & E abortion through 24 menstrual weeks' gestation. Advances in Planned Parenthood 16:7-13, 1981. Dilatation and evacuation abortion. Letter to the editor, Obstetrics and Gynecology 60:667, 1982. Correlation of fetal age and measurements between 10 and 26 weeks of gestation. Obstetrics and Gynecology 63:26-32, 1984. Serial multiple laminaria and adjunctive urea in late out patient dilatation and evacuation abortion. Obstetrics and Gynecology 63:543-549, 1984. Outpatient abortion for fetal anomaly and fetal death from 15-34 menstrual weeks' gestation: Techniques and clinical management. Obstetrics and Gynecology 81:301-306, 1993. Cervical treatment with DilapanTM prior to second trimester dilation and evacuation abortion: A pilot study of 64 patients. American Journal of Gynecologic Health 7(1):15-18, 1993. Dilapan vs. laminaria in second trimester abortion: Randomized controlled cohort of 1001 patients. American Journal of Obstetrics and Gynecology 171(5):1324-1328, 1994.
Publications concerning the medical, social or
administrative aspects of abortion. Is pregnancy really normal? Family Planning Perspectives 3(1), January 1971. U.S Government policy on abortion. G. Contis and W.M. Hern. American Journal of Public Health 61:1038, May, 1971. The illness parameters of pregnancy. Social Science and Medicine 9:365-372, 1975 (England). Administrative incongruence and authority conflict in four abortion clinics. W.M Hern, M. Gold, and A. Oakes. Human Organization 36:376-383, 1977. The concept of quality care in abortion services. Advances in Planned Parenthood 13:63-74, 1978. What about us? Staff reactions to D & E. Advances in Planned Parenthood 15:3-8, 1980. Midtrimester abortion. In Obstetrics and Gynecology Annual, 1981, Ralph M. Wynn, (Ed.), Appleton-Century-Crofts, New York, 1981. Long-term risks of induced abortion. In Gynecology and Obstetrics, Chapter 63, J.W. Sciarra, Ed., Philadelphia, J.B. Lippincott, 1982. First trimester abortion: complications and their management. In Gynecology and Obstetrics, Chapter 59, J.W. Sciarra, Ed., Philadelphia, J.B. Lippincott, 1982. First and second trimester abortion techniques. Current Problems in Obstetrics and Gynecology 6, No. 11: July 1983. Discussion remarks. In Shaw, M.W, Doudera, A.E, (eds): Defining Human Life: Medical, Legal, and Ethical Implications. Ann Arbor, AUPHA Press, 1983. Proceedings of the conference entitled Human Life Symposium: An Interdisciplinary Approach to the Concept of Person, Houston, Texas, March 1982. Use of prostaglandins as abortifacients. In Gynecology and Obstetrics, Chapter 58, J.W. Sciarra, Ed., Philadelphia, J.B. Lippincott Co, 1982. Published in 1988. Evolution of second trimester abortion techniques. In Prevention and Treatment of Contraceptive Failure, U. Landy and S.S. Ratnam, eds. New York: Plenum Press, 1986. The Politics of Choice: Abortion as Insurrection. In Births and Power: Social Change and the Politics of Reproduction, W. Penn Handwerker, (Ed.), Boulder, Westview Press, 1990. Proxemics in the abortion debate: the use of anthropological theory in conflict arising from antiabortion demonstrations. Population and Environment 12(4): 379 -388, 1991. Life on the Front Lines. Women's Health Issues 4(1):48-54,1994. Surgical abortion: Management, complications, and long-term risks. In Gynecology and Obstetrics, John J. Sciarra (Ed.) and Preston V. Dilts, Jr (Assoc. Ed.) Revised edition, 1994. Philadelphia: J.B. Lippincott Company, 1994. Chapter 59. First trimester abortion: Principles, Techniques, and Clinical Management. In Fertility Control, Stephen L. Corson, Richard J. Derman, and Louise B. Tyrer (Eds.). Second edition. London, Ontario, Canada: Goldin Publishers, 1994. Abortion. Chapter I in Encyclopedia of Marriage and the Family, MacMillan Publishing Company, New York, 1995. Life on the front lines. In Abortion Wars: 1950-2000, by Rickie Solinger (ed.). Univ. of Calif. Press, 1997. How Roe vs. Wade has affected my life and work. Conscience 18(4):26, 1998. Special issue on 25th Anniversary of Roe vs. Wade; invited essay. Articles and op-ed publications on abortion The politics of abortion. The Progressive, November, 1972. Abortion: the need for rational policy and safe standards. The Denver Post, May 27, 1973. Single pregnancies: are they really accidental? Denver Singles Guide, April, 1975. Abortion issue muddles presidential politics. The Denver Post, October 31, 1976. New attack on abortion under way in Colorado. The Denver Post, February 27, 1977. The human life statute: will it protect life or power? The Denver Post, June 21, 1981. Helms' abortion amendment unenforceable. Daily Tar Heel, February 18, 1981 (University of North Carolina). Reagan's war on abortion. The Sunday Camera, December 9, 1984. Reagan turning abortion into crime against state. The Rocky Mountain News, December 14, 1984. The antiabortion vigilantes. The New York Times, Op-Ed Page, Friday, December 21, 1984. Abortion `compromise' flawed. The Denver Post, April 27, 1985. `Silent Scream' is propaganda. The Denver Post, July 6, 1985. Drug won't end abortion dilemma. The Daily Camera, April 5, 1986. Must Mr. Reagan tolerate abortion clinic violence? The New York Times, Op-Ed page, June 14, 1986. Reagan faces anti-abortion terrorists„and winks. The Rocky Mountain News, Commentary, June 17, 1986 Protect Abortion Rights. New York Times, Op-Ed page, January 22, 1987. Protect Abortion Rights. Rocky Mountain News, January 23, 1987. Anti-abortion campaign rhetoric prompts attacks on clinics. Sunday Camera, September 4, 1988. Abortion clinics under siege. The Denver Post, November 1, 1988. Abortion as Insurrection. The Humanist 49(2):18, March/April, 1989. Voters sent a clear pro-choice message. The Daily Camera, December 21, 1992. Hunted by the Right, Forgotten by the Left. The New York Times Op-Ed page, March 13, 1993. Doctors disparaged in abortion debate. The Daily Camera, March 19, 1993. Florida doctor's death resulted from 20 years of inciting violence. The Denver Post, March 20, 1993. The Pope and my right to life. The New York Times Op-Ed page, August 12, 1993. Anti-abortion movement put weapon in slayer's hand. Daily Camera, Guest Opinion, March 20, 1994. Anti-abortion zealots' grasp for power. The Rocky Mountain News, Guest Opinion ("Speakout") Column. December 19, 1994. An electronic demon stalks clinic workers. The Daily Camera, Commentary. January 9, 1995. How it feels to be on anti-abortion hit list. Letter to the editor, The New York Times, February 4, 1995. Parental notice is bad legislation. Commentary, The Colorado Statesman, March 10, 1995. Parental notice law should be rejected. Editorial, The Rocky Mountain News, March 19, 1995. 'Killing for Life' is senseless. Op-ed piece, The Denver Post, April 8, 1995. Who wanted to ban 'partial birth abortion'? The Daily Camera, December 16, 1995. Abortion and the numbers game. Op-Ed page, The Washington Post, October, 1996. Abortion bill skips the fine print. Op-Ed page, The New York Times, May 17, 1997. back to top Abortion Practice, by Dr. Warren Hern, published by J.B. Lippincott Company in 1984, is the standard medical textbook on abortion and has been frequently cited in medical and legal publications and in legal briefs before U.S. Supreme Court. Abortion Practice. J.B. Lippincott Company, Philadelphia, 1984. Reviewed in Family Planning Perspectives, New England Journal of Medicine, Journal of the American Medical Association, American Journal of Reproductive Health. Softcover reprint. Alpenglo Graphics, 1990, 368 pages, 59 illustrations, 3 color plates, 16 tables. Click here for a detailed description and order information. ABORTION SERVICES HANDBOOK Available from Alpenglo Graphics, 1130 Alpine, Boulder, CO 80304. U.S. orders: $10, includes shipping & handling ABORTION IN THE SEVENTIES Available from Alpenglo Graphics, 1130 Alpine, Boulder, Colorado 80304. U.S. orders $15.00 includes postage & handling
Abortion-related publications U.S Government policy on abortion. G. Contis and W.M. Hern. American Journal of Public Health 61:1038, May, 1971. The politics of abortion. The Progressive, November, 1972. Abortion: the need for rational policy and safe standards. The Denver Post, May 27, 1973. Single pregnancies: are they really accidental? Denver Singles Guide, April, 1975. Laminaria in abortion: use in 1368 patients in first trimester. Rocky Mountain Medical Journal 72:390-395, 1975. Abortion issue muddles presidential politics. The Denver Post, October 31, 1976. Administrative incongruence and authority conflict in four abortion clinics. W.M Hern, M. Gold, and A. Oakes. Human Organization 36:376-383, 1977. Having an Abortion. Office pamphlet © 1975, Warren M. Hern, M.D., M.P.H. Boulder Abortion Clinic. Office pamphlet © 1976, Warren M. Hern, M.D., M.P.H. Abortion in the Seventies. Proceedings of the Western Regional Conference on Abortion. W.M. Hern and B. Andrikopoulos (Eds.), National Abortion Federation, New York, 1977. Multiple laminaria treatment in early midtrimester outpatient suction abortion. W. Hern and A. Oakes. Advances in Planned Parenthood 12:93-97, 1977. New attack on abortion under way in Colorado. The Denver Post, February 27, 1977. Abortion Services Handbook. Interfacia, Chicago, 1978. Available from Alpenglo Graphics, 1130 Alpine, Boulder, CO 80304. The concept of quality care in abortion services. Advances in Planned Parenthood 13:63-74, 1978. Correlation of sonographic cephalometry with clinical assessment of fetal age following early midtrimester D & E abortion. W.M. Hern, W.A. Miller, L. Paine, and K.D. Moorhead. Advances in Planned Parenthood 13:14-20, 1978. Program Standards for Abortion Services. Standards Committee, National Abortion Federation. National Abortion Federation, Washington, D.C. What about us? Staff reactions to D & E. Advances in Planned Parenthood 15:3-8, 1980. The human life statute: will it protect life or power? The Denver Post, June 21, 1981. Helms' abortion amendment unenforceable. Daily Tar Heel, February 18, 1981 (University of North Carolina). Outpatient second-trimester D & E abortion through 24 menstrual weeks' gestation. Advances in Planned Parenthood 16:7-13, 1981. Midtrimester abortion. In Obstetrics and Gynecology Annual, 1981, Ralph M. Wynn, (Ed.), Appleton-Century-Crofts, New York, 1981. Long-term risks of induced abortion. In Gynecology and Obstetrics, Chapter 63, J.W. Sciarra, Ed., Philadelphia, J.B. Lippincott, 1982. First trimester abortion: complications and their management. In Gynecology and Obstetrics, Chapter 59, J.W. Sciarra, Ed., Philadelphia, J.B. Lippincott, 1982. Dilatation and evacuation abortion. Letter to the editor, Obstetrics and Gynecology 60:667, 1982. First and second trimester abortion techniques. Current Problems in Obstetrics and Gynecology 6, No. 11: July 1983. Discussion remarks. In Shaw, M.W, Doudera, A.E, (eds): Defining Human Life: Medical, Legal, and Ethical Implications. Ann Arbor, AUPHA Press, 1983. Proceedings of the conference entitled Human Life Symposium: An Interdisciplinary Approach to the Concept of Person, Houston, Texas, March 1982. Correlation of fetal age and measurements between 10 and 26 weeks of gestation. Obstetrics and Gynecology 63:26-32, 1984. Serial multiple laminaria and adjunctive urea in late out patient dilatation and evacuation abortion. Obstetrics and Gynecology 63:543-549, 1984. Abortion Practice. J.B. Lippincott Company, Philadelphia, 1984. Reviewed in Family Planning Perspectives, New England Journal of Medicine, Journal of the American Medical Association. Reagan's war on abortion. The Sunday Camera, December 9, 1984. Reagan turning abortion into crime against state. The Rocky Mountain News, December 14, 1984. The antiabortion vigilantes. The New York Times, Op-Ed Page, Friday, December 21, 1984. Abortion `compromise' flawed. The Denver Post, April 27, 1985. `Silent Scream' is propaganda. The Denver Post, July 6, 1985. Drug won't end abortion dilemma. The Daily Camera, April 5, 1986. Use of prostaglandins as abortifacients. In Gynecology and Obstetrics, Chapter 58, J.W. Sciarra, Ed., Philadelphia, J.B. Lippincott Co, 1982. Published in 1988. Must Mr. Reagan tolerate abortion clinic violence? The New York Times, Op-Ed page, June 14, 1986. Reagan faces anti-abortion terrorists„and winks. The Rocky Mountain News, Commentary, June 17, 1986 Evolution of second trimester abortion techniques. In Prevention and Treatment of Contraceptive Failure, U. Landy and S.S. Ratnam, eds. New York: Plenum Press, 1986. Protect Abortion Rights. New York Times, Op-Ed page, January 22, 1987. Protect Abortion Rights. Rocky Mountain News, January 23, 1987. Anti-abortion campaign rhetoric prompts attacks on clinics. Sunday Camera, September 4, 1988. Abortion clinics under siege. The Denver Post, November 1, 1988. Abortion as Insurrection. The Humanist 49(2):18, March/April, 1989. The Politics of Choice: Abortion as Insurrection. In Births and Power: Social Change and the Politics of Reproduction, W. Penn Handwerker, (Ed.), Boulder, Westview Press, 1990. Abortion Practice. Softcover reprint. Alpenglo Graphics, 1990, 368 pages, 59 illustrations, 3 color plates, 16 tables. Available from Alpenglo Graphics, 1130 Alpine, Boulder, CO 80304. Proxemics in the abortion debate: the use of anthropological theory in conflict arising from antiabortion demonstrations. Population and Environment 12(4): 379-388, 1991. Voters sent a clear pro-choice message. The Daily Camera, December 21, 1992. Outpatient abortion for fetal anomaly and fetal death from 15-34 menstrual weeks' gestation: Techniques and clinical management. Obstetrics and Gynecology 81:301-306, 1993. Cervical treatment with DilapanTM prior to second trimester dilation and evacuation abortion: A pilot study of 64 patients. American Journal of Gynecologic Health 7(1):15-18, 1993. Hunted by the Right, Forgotten by the Left. The New York Times Op-Ed page, March 13, 1993. Doctors disparaged in abortion debate. The Daily Camera, March 19, 1993. Florida doctor's death resulted from 20 years of inciting violence. The Denver Post, March 20, 1993. The Pope and my right to life. The New York Times Op-Ed page, August 12, 1993. Anti-abortion movement put weapon in slayer's hand. Daily Camera, Guest Opinion, March 20, 1994. Life on the Front Lines. Women's Health Issues 4(1):48-54,1994. Surgical abortion: Management, complications, and long-term risks. In Gynecology and Obstetrics, John J. Sciarra (Ed.) and Preston V. Dilts, Jr. (Assoc. Ed.) Revised edition, 1994. Philadelphia: J.B. Lippincott Company, 1994. Chapter 59. First trimester abortion: Principles, Techniques, and Clinical Management. In Fertility Control, Stephen L. Corson, Richard J. Derman, and Louise B. Tyrer (Eds.). Second edition. London, Ontario, Canada: Goldin Publishers, 1994. Dilapan vs. Laminaria in second trimester abortion: Randomized controlled cohort of 1001 patients. American Journal of Obstetrics and Gynecology 171(5):1324-1328, 1994.
Abortion: Medical and Social Aspects. In Encyclopedia of Marriage and the Family, David Levinson, Ed. New York: Simon & Schuster MacMillan, 1995. Chapter 1, pp 1-7. Who wanted to ban 'partial birth abortion'? The Daily Camera, December 16, 1995. Abortion and the numbers game. Op-Ed page, The Washington Post, October, 1996 Abortion bill skips the fine print. Op-Ed page, The New York Times, May 17, 1997. Life on the front lines. In Abortion Wars: 1950 - 2000, Rickie Solinger (ed.). Los Angeles: University of California Press, 1997. How Roe vs. Wade has affected my life and work. Conscience, 18(4):26, 1998. Publications related to Fertility/Family Planning/Population Family Planning and the Poor. The New Republic, November 14, 1970. Is pregnancy really normal? Family Planning Perspectives 3(1), January 1971. Biological Tyranny. The New Republic, February 27, 1971. The illness parameters of pregnancy. Social Science and Medicine 9:365-372, 1975 (England). Knowledge and use of herbal contraceptives in a Peruvian Amazon village. Human Organization 35:9-19, 1976. High fertility in a Peruvian Amazon Indian village. Human Ecology 5:355-368, 1977. Water sets the limits on exponential growth. The Denver Post, January 10, 1982. Secretary Schweiker's flawed plan to curb teenage sex. New York Times, Letter, February 26, 1982. Alta fecundidad en una comunidad nativa del Râo Ucayali. Ginecologia y Obstetricia (Lima) 28:20-25, 1983. Population growth: the real reason behind the peril to the planet. Colorado Daily, February 3, 1989. Why are there so many of us? Description and diagnosis of a planetary ecopathological process. Population and Environment 12(1), 1990. [News Brief, Science, March 15, 1991, p 1311]. Individual Fertility Rate: A new measure of fertility for small populations. Social Biology 37(1-2), 1990. Book review: The Population Dynamics of the Mucajai Yanomama, J. Early, and J. Peters, San Diego, Academic Press, 1990. Population Studies 45:359-360, 1991. Effects of cultural change on health and fertility in Amazonian Indian societies: Recent research and projections. Population and Environment 13(1):23-43, 1991. Polygyny and fertility among the Shipibo of the Peruvian Amazon. Population Studies 46:53-64, 1992 Shipibo polygyny and patrilocality. American Ethnologist 19(3):501-522, 1992. Family planning, Amazon style. Natural History 101(12):30-37, 1992, December. Is human culture carcinogenic for uncontrolled population growth and ecological destruction? BioScience 43(11):768-773, 1993. Has the human species become a cancer on the planet? A theoretical view of population growth as a sign of pathology. Current World Leaders 36(6):1089-1124, 1993 (Special issue Featuring: World Population Issues). Cultural change, polygyny, and fertility among the Shipibo of the Peruvian Amazon. In Demography of Lowland South American Indians: Case Studies from Lowland South America, Kathleen Adams and David Price (Eds.). South American Indian Studies 4:77-86, 1994. The impact of cultural change and population growth on the Shipibo of the Peruvian Amazon. Latin American Anthropology Review 4(1):3-8, 1992 (published 5/94). Alta fecundidad en una comunidad nativa de la Amazonia Peruana. Amazonia Peruana 24:125-142, 1994. Conocimiento y uso de anticonceptivos herbales en una comunidad Shipibo. Amazonia Peruana 24:143- 160, 1994. Poliginâa y fecundidad de los Shipibo de la Amazonâa Peruana. Amazonia Peruana 24:161-184. Microethnodemographic techniques for field workers studying small groups. In The Comparative Analysis of Human Societies, Emilio Moran (Ed.). Boulder: Lynn Reiner Publishers, 1995. Health and demography of Native Amazonians: Historical perspective and current status. In Amazonian Indians from Prehistory to the Present, Anna C. Roosevelt (Ed.), Tuscon: University of Arizona Press, 1994. pp. 123-149 Publications related to Health/Economics/Politics/Ecology Health and economics in West Africa. Rocky Mountain Medical Journal, October 1962. Brazil's rulers crack down on foes. The Denver Post Perspective section, January 26, 1969. Could we have a killer smog in Denver? The Denver Post Perspective section, September 13, 1970. History shows us how to get it all wrong in Central America. The Sunday Camera, May 19, 1985. Questions about Homestake II. The Denver Post, Op-Ed page, October 24, 1987. All Latin America will hate the U.S. for invasion of Panama. The Sunday Camera, January 7, 1990. Values clash over wild waters. Rocky Mountain News, Op-Ed Page, August 22, 1990 (concerning the Homestake II project). Informe sobre la epidemia del colera en los rios Pisqui y Bajo Ucayali, Peru: 8 a 20 de junio de 1991. Boletin de Lima (78):29-31, 1991. Book review: Anthropogenic Climatic Change, M.I. Budyko and Yu A. Izrael, Eds., Tucson, University of Arizona Press, 1990. National Geographic Research and Exploration 8(1):125-126, 1992. Upper Pisqui River, Peruvian Amazon: July to August 1991. National Geographic Research and Exploration 8(2):234-236, 1992. Book review: Environmental Evolution: Effects of The Origin and Evolution of Life on Planet Earth., L. Margulis and L. Olendzenski, Eds., Cambridge, MA, MIT Press, 1992. National Geographic Research and Exploration 10(1):132, 1994. Dr. Warren Hern, Director of Boulder Abortion Clinic, is the author of ten research papers published in peer-review journals concerning the medical and surgical aspects of surgical abortion. He is the author of numerous other abortion-related publications in scientific, professional, and academic journals and monographs concerning some aspect of abortion. Some of these were prepared as invited book chapters. The ten abortion research papers published to date represent specific aspects of clinical observation and research conducted over twenty-five years; they reflect the experience with some 35,000 patients and over 40,000 abortion procedures ranging from 4 menstrual weeks to 34 menstrual weeks. Most of these research papers are concerned with the clinical results for second trimester and later abortions (15 - 34 menstrual weeks gestation). Although all the research papers have specific case series included for analysis, one paper (Laminaria vs. dilapan; AJOG 1994) utilizes rigorous statistical and comparative methodology for comparing the results of a particular strategy for cervical dilation using two different materials. Another research paper with rigorous comparative methodology is the 1984 paper concerning the correlation of fetal age and measurements (Obstet Gynecol 1984). This is the first publication since Streeter's in 1920 which utilizes a rigorous methodologic and statistical approach to this subject in a way that gives highly reliable and applicable results for the practitioner. Of the various case series presented by Dr. Hern in these publications, the major complication rates range from 0.0 to 0.3%, up to 3 per 1000. Blood loss and procedure times are also studied and presented. For first trimester patients under Dr. Hern's care, there have been no primary uterine perforations (during the abortion procedure) in approximately 30,000 patients. This is to be compared to a national average of 0.1 - 0.2%. For most second and third trimester patients under Dr.
Hern's care, the major complication rate has been approximately 0.2%
overall (2/1000), with slightly higher major complication rates of up to
0.5% (5/1000) in smaller, more advanced series. * Laminaria in abortion: use in 1368 patients in first trimester. Rocky Mountain Medical Journal 72:390-395, 1975. In this study, 1368 patients received vacuum aspiration abortion following overnight cervical dilation with Laminaria japonicum. There were no uterine perforations or major complications. * Multiple laminaria treatment in early midtrimester outpatient suction abortion. W. Hern and A. Oakes. Advances in Planned Parenthood 12:93-97, 1977. In this study, a serial multiple laminaria technique of dilating the cervix in second trimester abortion was used in 162 patients experiencing abortion in a private outpatient office. Blood loss, procc. time. There were no uterine perforations or major complications. This paper is the first description in the American literature of the Serial multiple laminaria technique in second trimester D & E abortion. * Correlation of sonographic cephalometry with clinical assessment of fetal age following early midtrimester D & E abortion. W.M. Hern, W.A. Miller, L. Paine, and K.D. Moorhead. Advances in Planned Parenthood 13:14-20, 1978. * Outpatient second-trimester D & E abortion through 24 menstrual weeks' gestation. Advances in Planned Parenthood 16:7-13, 1981. * Dilatation and evacuation abortion. Letter to the editor, Obstetrics and Gynecology 60:667, 1982. * Correlation of fetal age and measurements between 10 and 26 weeks of gestation. Obstetrics and Gynecology 63:26-32, 1984. * Serial multiple laminaria and adjunctive urea in late out patient dilatation and evacuation abortion. Obstetrics and Gynecology 63:543-549, 1984. * Outpatient abortion for fetal anomaly and fetal death from 15-34 menstrual weeks' gestation: Techniques and clinical management. Obstetrics and Gynecology 81:301-306, 1993. * Cervical treatment with Dilapanú prior to second trimester dilation and evacuation abortion: A pilot study of 64 patients. American Journal of Gynecologic Health 7(1):15-18, 1993. * Dilapan vs. Laminaria in second trimester abortion: Randomized controlled cohort of 1001 patients. American Journal of Obstetrics and Gynecology 171(5):1324-1328, 1994. In this study, 1001 patients receiving Dilapanú and Laminaria japonicum for cervical dilation for second-trimester dilation & evacuation were compared for various outcome variables. A cohort comparison of 1001 patients receiving alternate preoperative treatment with either osmotic dilator after initial randomization until this number had been reached in the series. Results: Few significant differences were found in the two cohorts with respect to blood loss, procedure times, and overall complication rates. However, patients receiving Dilapanú were at least twice as likely to experience problems in cervical dilation or problems resulting from poor dilation and/or disintegration of the device than patients receiving Laminaria japonicum. While more patients receiving Laminaria experienced amniotic fluid embolism and/or disseminated intravascular coagulation syndrome, these problems could not be attributed to the type of osmotic dilator used. Conclusions: Both osmotic dilators are acceptable for use in overnight dilation in this procedure, but the Dilapanú is more likely to disintegrate, retract, or present minor problems associated with poor dilation.
Testimony before
legislative/Congressional committees |
|||
|
1130 Alpine Avenue |
