Characteristics of women who undergo second-trimester abortion in the setting of a fetal anomaly
| Autor: | Danny Wu, Sherri Pena, Megan Swanson, Brian L Shaffer, Jennifer L. Kerns, Jody Steinauer, Susan H. Tran |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Prenatal diagnosis Abortion Congenital Abnormalities Pregnancy medicine Humans Dilation and evacuation Retrospective Studies Gynecology Singleton business.industry Obstetrics Obstetrics and Gynecology Gestational age Retrospective cohort study Abortion Induced medicine.disease Reproductive Medicine Pregnancy Trimester Second Gestation Female San Francisco business |
| Zdroj: | Contraception. 85(1) |
| ISSN: | 1879-0518 |
| Popis: | Background Most women diagnosed with a fetal anomaly terminate the pregnancy. Little is known about utilization of two procedures: dilation and evacuation (D&E) and induction termination. Study Design This retrospective cohort study included all women seen at the University of California, San Francisco (UCSF) Prenatal Diagnosis Center (PDC) who underwent a second-trimester abortion for an anomalous pregnancy from 2005 to 2008. We abstracted variables from the PDC database and medical charts to identify predictors associated with undergoing D&E. Results Three quarters of the 192 women underwent D&E (n=148). Higher maternal age, proximity to UCSF, earlier gestational age, singleton gestation and genetic anomaly were associated with undergoing D&E. In adjusted analysis, earlier gestational age and singleton gestation were associated with undergoing D&E. Conclusions The D&E procedure was more commonly utilized for terminating an anomalous pregnancy at UCSF than medical induction. Further inquiry is needed to explore how provider counseling influences the choice of D&E vs. induction. |
| Databáze: | OpenAIRE |
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