The analysis of the termination of pregnancies at and after ten weeks of gestation – a monocenter study

Baran, Şafak Yılmaz; Alemdaroğlu, Songül; Durdağ, Gülşen Doğan; Kalaycı, Hakan; Çelik, Zerrin Yılmaz

doi:10.2399/prn.19.0271003

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…The distribution of chromosomal anomalies we found in our study was consistent with the literature, and trisomy 21 was the most common anomaly. [14,16,20] The majority of the cases with normal karyotype results consisted of single gene diseases associated with thalassemia in particular, and single gene diseases were responsible for 6.5% of all terminations. The ter- The data are presented as n (%).…”

Section: Discussionmentioning

confidence: 99%

The assessment of early and late gestational termination cases

Kaya¹,

Vaizoğlu²,

Uzuner³

et al. 2020

Perinatal J

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Objective We aimed to investigate the characteristics of early and late gestational termination cases by evaluating the cases underwent gestational termination in our clinic. Methods All pregnant women who had singleton pregnancy and underwent gestational termination due to fetal indications between January 2017 and December 2019 were included in the study. Results A total of 341 cases, of which 263 were with early gestational termination (Group 1) and 73 were with late gestational termination (Group 2) were included in the study. No difference was observed between the demographic characteristics of the groups. The ultrasonographic structural anomaly was observed in 273 (80.1%) of 341 cases and no structural anomaly was observed in 68 (19.9%) cases. Of the cases with structural anomaly, 200 (73%) had isolated system anomaly and 73 (26.7%) had multiple system anomaly. Karyotype analysis was performed in 68% of the cases, and chromosomal anomaly was found in 52.6% of them. Among the cases with normal karyotype analysis results, 22 cases had single gene disorder, of which mostly had thalassemia. While the incidence of structural anomaly was significantly high in the late termination cases (91% vs. 76.8%), the incidence of isolated cardiovascular anomaly was significantly high in the late termination cases similarly (37.5% vs. 13.8%). The autopsy was performed on 16.7% of the cases after termination and the findings were consistent with the prenatal ultrasonographic results in 86% of the cases, and additional findings were found in 22.4% of the cases in the autopsy. Conclusion When the late gestational terminations performed in our clinic are compared to the early gestational terminations, we believe that conducting ultrasonographic anomaly screening to all pregnant women including echocardiography even at a less rate, and also making screening programs in the early gestational periods such as aneuploidy screening easily accessible for all pregnant women may help to maintain maternal health by decreasing the rates of the cases with late gestational

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Section: Discussionmentioning

confidence: 99%

The assessment of early and late gestational termination cases

Kaya¹,

Vaizoğlu²,

Uzuner³

et al. 2020

Perinatal J

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show abstract

“…If the gestation period is longer than 10 weeks, the uterus may be evacuated only if the pregnancy represents, or will constitute, a danger to the mother's life, or if the child is born damaged…" 4,5 However, Turkish law remains unclear regarding which anomalies are compatible or incompatible with life, resuscitation, and feticide implementation. 6 Therefore, once a fetus is diagnosed with a fetal anomaly, it is uncertain, controversial, and challenging for both parents and interdisciplinary team members to decide whether to terminate or continue the pregnancy. Moreover, although PPC can be offered to parents who elect to keep their babies diagnosed with fetal anomalies, 1 in Turkey, palliative care is provided only to patients with cancer, older adults, and people with chronic diseases.…”

mentioning

confidence: 99%

“…In Turkey, Article 5 of the Population Planning Law states: “Provided there are no medical contraindications, the uterus may be evacuated until the end of the 10th week of pregnancy. If the gestation period is longer than 10 weeks, the uterus may be evacuated only if the pregnancy represents, or will constitute, a danger to the mother's life, or if the child is born damaged…” 4,5 However, Turkish law remains unclear regarding which anomalies are compatible or incompatible with life, resuscitation, and feticide implementation 6 . Therefore, once a fetus is diagnosed with a fetal anomaly, it is uncertain, controversial, and challenging for both parents and interdisciplinary team members to decide whether to terminate or continue the pregnancy.…”

mentioning

confidence: 99%

Parents' Needs and Their Perceived Obstacles With Team Members in Perinatal Palliative Care

Yaşar

Terzioğlu

2022

J Hosp Palliat Nurs

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Advances in prenatal diagnosis have made medical, psychological, and ethical issues regarding the diagnosis of fetal anomalies a crucial topic of research. This study identified the needs of parents of unborn babies with fetal anomalies and their views regarding the services of interdisciplinary team members in charge of assisting them. The sample consisted of 30 parents and 40 team members from a women's health education and research hospital. Data were collected through face-to-face interviews and were qualitatively analyzed using the phenomenological method of interpretation. The results showed that parents' physical, psychological, social, and spiritual needs during pregnancy, childbirth, and postpartum were not fully met after their unborn babies were diagnosed with fetal anomalies. The results also showed that team members needed a structured program, legal regulations, and training to provide holistic care.

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Retrospective analysis of pregnancy terminations and indications in a tertiary center

Demir,

Cağliyan,

Altunyurt

2021

Clin. Exp. Obstet. Gynecol.

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The aim of this study was to evaluate the indications of pregnancies terminated which were for maternal and fetal causes in our clinic and to discuss legal and ethical issues di fering by countries. Methods: This study was performed retrospectively by evaluating 318 pregnancies terminated due to maternal or fetal indications over 10 weeks. Results: Termination of pregnancy was performed due to fetal congenital, chromosomal and obstetrical reasons in 96.8% of 318 terminated cases and due to maternal reasons in 3.2% of them. Thirtytwo (10%) late termination cases with gestational week > 23 + 0 were termed a ter feticide procedure. Conclusion: Gestational limit for termination of pregnancy varies from country to country, which brings ethical problems with it. We presented indications of pregnancy terminations in our clinic, which is a tertiary and reference center within the legal framework.

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The analysis of the termination of pregnancies at and after ten weeks of gestation – a monocenter study

Cited by 3 publications

References 23 publications

The assessment of early and late gestational termination cases

The assessment of early and late gestational termination cases

Parents' Needs and Their Perceived Obstacles With Team Members in Perinatal Palliative Care

Retrospective analysis of pregnancy terminations and indications in a tertiary center

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