Fetal diagnostic indications for second and third trimester outpatient pregnancy termination.

Abstract:

OBJECTIVE:To determine the frequency of diagnostic indications among women seeking to terminate pregnancies for reasons of fetal abnormality, spontaneous fetal demise, or a genetic disorder in a private outpatient clinic specializing in late outpatient abortion procedures. METHOD:A total of 1005 women requested termination of pregnancy for reasons of genetic disorder, fetal anomaly, or fetal demise over 20 years (1992-2012). Gestational ages ranged from 12 to 39 weeks. In all cases, a documented diagnosis of fetal abnormality or fetal demise was made prior to referral. Records were reviewed to verify fetal diagnosis for all patients seeking termination of pregnancy for reasons of fetal disorder. Major complications included major unintended surgery, hemorrhage requiring transfusion, or pelvic infection. RESULTS:Preoperative diagnoses included the following: chromosomal abnormalities (n = 378), genetic syndromes and single gene disorders (n = 30), structural anomalies (n = 494), and other conditions (n = 103). These include 26 cases of spontaneous fetal demise and nine selective terminations of one abnormal twin. The major complication rate was 0.5%. CONCLUSIONS:The majority of diagnoses were in the categories of genetic disorder and neurologic abnormality.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Hern WM

doi

10.1002/pd.4324

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

438-44

issue

5

eissn

0197-3851

issn

1097-0223

journal_volume

34

pub_type

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