title: Same-day Dilapan insertion before second-trimester dilatation and evacuation for a fetal anomaly or death.
abstract: OBJECTIVE
  To evaluate the efficacy of same-day Dilapan insertion prior to nonelective second-trimester dilatation and evacuation.
  
  
  METHODS
  Eighty women had Dilapan inserted six to eight hours prior to surgery. Degree of cervical dilatation was assessed after Dilapan was removed.
  
  
  RESULTS
  Seventy-eight of 80 women had adequate cervical dilatation from a single, same-day Dilapan insertion. There were no major complications.
  
  
  CONCLUSIONS
  Same-day Dilapan insertion prior to planned second-trimester dilatation and evacuation is safe and effective.
authors.affiliation: New Jersey Gynecologic Oncology, Little Silver 07739, USA.
authors.forename: B
authors.initials: B
authors.lastname: Patsner
mesh_terms: D000019:Abortifacient Agents / Q000627:therapeutic use*; D000032:Abortion, Therapeutic / Q000379:methods*; D000282:Administration, Intravaginal; D003131:Combined Modality Therapy; D000013:Congenital Abnormalities; D005260:Female; D005313:Fetal Death; D006801:Humans; D010865:Pilot Projects; D011108:Polymers / Q000627:therapeutic use*; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011292:Premedication; D014619:Vacuum Curettage / Q000379:methods*
chemical_list: D000019:Abortifacient Agents; D011108:Polymers; C077755:dilapan