To the Editor We thank Tkachenko et al¹ for their work in highlighting important trends and questions regarding the iPledge system. We agree that the implementation of iPledge may reduce pregnancy-related adverse events, yet we do not believe that the burdensome nature of this system toward patients and physicians is sufficiently addressed. iPledge contains various excessive and contradictory requirements that impede patient care, one such example being the process of urine pregnancy test acquisition.

中文翻译：

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矛盾的iPledge要求阻碍医生的实践和患者护理。

致编辑我们感谢Tkachenko等人¹在突出有关iPledge系统的重要趋势和问题方面所做的工作。我们同意实施iPledge可以减少与怀孕相关的不良事件，但是我们认为该系统对患者和医生的沉重负担无法得到充分解决。iPledge包含各种妨碍患者护理的过度和自相矛盾的要求，其中一个例子就是尿液妊娠试验的获取过程。