title: Pregnancy outcomes after laminaria placement and second-trimester removal.
abstract: BACKGROUND
  Even after comprehensive counseling, patients change their mind about the decision to terminate a pregnancy. There are few data about the effect of laminaria placement and removal on subsequent pregnancy outcome.
  
  
  METHODS
  We describe four cases of laminaria removal at 12-17 weeks of gestation with varying outcomes. Two of the four cases developed cervical dilation and delivered early with documented acute chorioamnionitis.
  
  
  CONCLUSIONS
  Patients should be counseled that pregnancy termination begins with laminaria placement and that their removal could result in premature delivery.
authors.affiliation: From the New York University School of Medicine, New York, New York.
authors.forename: Matthew
authors.initials: M
authors.lastname: Siedhoff
authors.forename: Miriam L
authors.initials: ML
authors.lastname: Cremer
mesh_terms: D000328:Adult; D002821:Chorioamnionitis / Q000209:etiology*; D020878:Device Removal; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007795:Laminaria; D007752:Obstetric Labor, Premature / Q000209:etiology*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D055815:Young Adult