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Previous Volume 361:1511-1512 October 8, 2009 Number 15 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Fjerstad et al. (July 9 issue)¹ report a link between changes in the protocol for medical abortion and a reduction in the rate of infection in a large U.S. clinic network. However, it is not possible to draw definitive conclusions from a retrospective report regarding two interventions that took place without controls. Two thirds of the decrease in the rate of serious infection appears to have occurred with a change from vaginal to buccal administration of misoprostol; a further decrease occurred after antibiotics were required. Notably, changing to buccal administration is cost-free and easy to implement without . . . [Full Text of this Article]

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