Induced labour in pregnancy with congenital abnormalities: clinical indications or patient demand

Abstract

Congenital abnormalities are a nightmare for a pregnant woman. However, congenital abnormalities are divided into several conditions. The state of major disability is the worst situation, with the possibility of disability and even postpartum death. The disability is still a pregnancy that can cause complications that have a bad effect on the mother, so the pregnancy is often induced labor for fear of endangering the mother even though the complications have not yet appeared. In addition, it often happens because the family refuses the presence of a child with a disability. Criteria and references for intrauterine anomalies have been made by various countries and organizations, with the treatment taking into account clinical, psychosocial, religious, and legal aspects. However, this reference is not always easy to implement due to various factors, so that the decision to induced labor or induced abortion is always based on the advice of the medical team and family approval without leaving the legal aspect. Parental consent is important because not all pregnant women agree to induced labor of pregnancy even though it is a major disability and threatens postpartum death. On the other hand, if the defect can be corrected, then a clinician must be able to maintain the pregnancy and refuse unnecessary attempts to terminate the pregnancy.

Maternal infection with hepatitis B virus before pregnancy and risk of congenital malformations in offspring: a record-linkage study of a large national sample from China

“…Secondly, births delivered born prior to 28 weeks of gestation were not examined in the study, which may leads to a potential underestimation of the overall birth prevalence of congenital malformations, particularly for severe cases that may result in pregnancy termination before 28 gestational weeks. 71 , 72 , 73 As a result, our analysis may underestimate the true associations between maternal HBV infection and risk of congenital malformations in offspring. The magnitude of this underestimation likely differs for different systems of malformations.…”