Late Termination of Pregnancy for Fetal Abnormality: Medical and Legal Perspectives

Wicks, Elizabeth; Wyldes, M.; Kilby, Mark

doi:10.1093/medlaw/12.3.285

Cited by 16 publications

(14 citation statements)

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“…The medical and legal issues are complex 5 and should not be over simplified. It has been suggested that the live birth and subsequent death from prematurity of a baby following a TOPFA could lead to the criminal accusation of murder, or the civil charge of manslaughter.…”

Section: Discussionmentioning

confidence: 99%

Short communication: Termination of pregnancy for fetal anomaly: a population‐based study 1995 to 2004

Wyldes¹,

Tonks²

2007

BJOG

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Terminations of pregnancy for fetal anomaly (TOPFAs) were analysed over a 10-year period from a population-based congenital anomaly register covering 646 342 births. A total of 3189 cases of TOPFA were identified, prevalence of 49.3 per 10 000 registerable births. The rate of TOPFA at all gestations and at less than 16 weeks increased significantly. There were 102 cases of liveborn TOPFAs (3.2%). The proportion of liveborn TOPFAs after 22 weeks of gestation decreased significantly but below 22 weeks remains unchanged. TOPFA is increasing in frequency, occurring earlier in pregnancy. Live birth is a possible important outcome.

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Section: Discussionmentioning

confidence: 99%

Short communication: Termination of pregnancy for fetal anomaly: a population‐based study 1995 to 2004

Wyldes¹,

Tonks²

2007

BJOG

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“…Although there is a continuing trend in the increase in the overall numbers of terminations of pregnancy as a result of improved antenatal detection rates, 6,7 the proportion reported as occurring at over 20 weeks of gestation remains fairly constant at <0.35% of all pregnancies 8 . The possibility that a live and potentially viable fetus is born after late TOP is a major dilemma facing health professionals.…”

Section: Introductionmentioning

confidence: 99%

An investigation into the reporting and management of late terminations of pregnancy (between 22⁺⁰ and 26⁺⁶ weeks of gestation) within NHS Hospitals in England in 2006: the EPICure preterm cohort study

Draper

Alfirević

Stacey

et al. 2012

BJOG

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Objective To review all late terminations of pregnancy, between 22 +0 and 26 +6 weeks of gestation, collected as part of the EPICure2 study.Design Prospective cohort study.Setting All National Health Service (NHS) hospitals providing perinatal services for extremely preterm infants.Population All births between 22 +0 and 26 +6 weeks of gestation in England during 2006.Methods Data were collected for the defined cohort of births, including terminations of pregnancy, by designated unit staff using a standardised questionnaire. Rigorous validation processes were established to ensure comprehensive data collection. Gestational age was validated using a hierarchical classification of scan dates, certain date of last menstrual period and working gestation. Data for terminations of pregnancy (TOPs) were categorised into two groups, terminations for fetal abnormality and for maternal or fetal compromise, and were analysed in terms of their reporting, management and outcomes. Conclusion Terminations of pregnancy represent a relatively large proportion of very preterm births. Fetal abnormalities are the main cause for these terminations, and most include feticide. Better screening strategies are required to avoid the need for late terminations of pregnancy for fetal abnormalities.

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“…Nevertheless, if there is fetal abnormality on ultrasound and ZIKV PCR on amniocentesis is positive, then this makes it more likely that the abnormality is ZIKV‐associated and that the outcome may have a poor prognosis. When a significant brain abnormality or microcephaly is confirmed in the presence of ZIKV infection, the option of termination of pregnancy should be discussed with the woman, regardless of gestation (as would be the case if ZIKV infection was not suspected) …”

Section: Management Of the Pregnant Womenmentioning

confidence: 99%

Zika virus and pregnancy

Lissauer

Smit

Kilby

2016

BJOG

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Late Termination of Pregnancy for Fetal Abnormality: Medical and Legal Perspectives

Cited by 16 publications

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Short communication: Termination of pregnancy for fetal anomaly: a population‐based study 1995 to 2004

Short communication: Termination of pregnancy for fetal anomaly: a population‐based study 1995 to 2004

An investigation into the reporting and management of late terminations of pregnancy (between 22⁺⁰ and 26⁺⁶ weeks of gestation) within NHS Hospitals in England in 2006: the EPICure preterm cohort study

Zika virus and pregnancy

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Late Termination of Pregnancy for Fetal Abnormality: Medical and Legal Perspectives

Cited by 16 publications

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Short communication: Termination of pregnancy for fetal anomaly: a population‐based study 1995 to 2004

Short communication: Termination of pregnancy for fetal anomaly: a population‐based study 1995 to 2004

An investigation into the reporting and management of late terminations of pregnancy (between 22+0 and 26+6 weeks of gestation) within NHS Hospitals in England in 2006: the EPICure preterm cohort study

Zika virus and pregnancy

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An investigation into the reporting and management of late terminations of pregnancy (between 22⁺⁰ and 26⁺⁶ weeks of gestation) within NHS Hospitals in England in 2006: the EPICure preterm cohort study