Five thousand consecutive saline inductions were performed without maternal death. The serious complications associated with this technique in the literature, i.e., convulsions, coma, and cerebral damage, secondary to systemic injection of hypertonic saline, were not encountered in this series. This apparent lack of clinical hypernatremia is attributed to the use of the slow drip infusion method and strict adherence to established guidelines. Complications related to labor and delivery are tabulated and discussed. Their occurrence is recognized as an inevitable consequence of pregnancy termination beyond the first trimester. In the opinion of the authors, midtrimester pregnancy termination by the intra amniotic instillation of hypertonic saline should be performed only by properly trained obstetrical personnel.