Strengths and Limitations
In the present study, in which data from an experienced tertiary center
is presented, is valuable because the results of a particular clinical
protocol are evaluated. However, the most important limitations of our
study are its retrospective design and relatively low number of the
patients among the group 2 and 4. Since the most common cause of
pregnancy termination (75%) in the study was fetal structural
anomalies, 63% of the patients were below the 24th gestational week. In
addition, after second failured treatment, delivery with a another
method other than LD vaginal misoprostol according to previous cesarean
section history or cervical assessment may have affected the total
length of hospital stay and time to delivery in all patient groups.
However, considering that the high success rate with a single method is
like 91% in our study, we believe that this is not an important
variable.