Characteristics of women who undergo second-trimester abortion in the setting of a fetal anomaly

Jennifer L. Kerns, Megan Swanson, Sherri Pena, Danny Wu, Brian Shaffer, Susan Tran, Jody E. Steinauer

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)63-68
Number of pages6
JournalContraception
Volume85
Issue number1
DOIs
Publication statusPublished - Jan 2012

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Keywords

  • Dilation and evacuation
  • Fetal anomaly
  • Induction termination

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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