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 Citations (Scopus)

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
StatePublished - Jan 2012

Fingerprint

Second Pregnancy Trimester
San Francisco
Pregnancy
Prenatal Diagnosis
Gestational Age
Maternal Age
Counseling
Dilatation
Cohort Studies
Retrospective Studies
Databases

Keywords

  • Dilation and evacuation
  • Fetal anomaly
  • Induction termination

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Characteristics of women who undergo second-trimester abortion in the setting of a fetal anomaly. / Kerns, Jennifer L.; Swanson, Megan; Pena, Sherri; Wu, Danny; Shaffer, Brian; Tran, Susan; Steinauer, Jody E.

In: Contraception, Vol. 85, No. 1, 01.2012, p. 63-68.

Research output: Contribution to journalArticle

Kerns, Jennifer L. ; Swanson, Megan ; Pena, Sherri ; Wu, Danny ; Shaffer, Brian ; Tran, Susan ; Steinauer, Jody E. / Characteristics of women who undergo second-trimester abortion in the setting of a fetal anomaly. In: Contraception. 2012 ; Vol. 85, No. 1. pp. 63-68.
@article{7f28be07128745aaa6266376fa2f9cbb,
title = "Characteristics of women who undergo second-trimester abortion in the setting of a fetal anomaly",
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.",
keywords = "Dilation and evacuation, Fetal anomaly, Induction termination",
author = "Kerns, {Jennifer L.} and Megan Swanson and Sherri Pena and Danny Wu and Brian Shaffer and Susan Tran and Steinauer, {Jody E.}",
year = "2012",
month = "1",
doi = "10.1016/j.contraception.2011.04.012",
language = "English (US)",
volume = "85",
pages = "63--68",
journal = "Contraception",
issn = "0010-7824",
publisher = "Elsevier USA",
number = "1",

}

TY - JOUR

T1 - Characteristics of women who undergo second-trimester abortion in the setting of a fetal anomaly

AU - Kerns, Jennifer L.

AU - Swanson, Megan

AU - Pena, Sherri

AU - Wu, Danny

AU - Shaffer, Brian

AU - Tran, Susan

AU - Steinauer, Jody E.

PY - 2012/1

Y1 - 2012/1

N2 - 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.

AB - 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.

KW - Dilation and evacuation

KW - Fetal anomaly

KW - Induction termination

UR - http://www.scopus.com/inward/record.url?scp=82755198050&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=82755198050&partnerID=8YFLogxK

U2 - 10.1016/j.contraception.2011.04.012

DO - 10.1016/j.contraception.2011.04.012

M3 - Article

C2 - 22067803

AN - SCOPUS:82755198050

VL - 85

SP - 63

EP - 68

JO - Contraception

JF - Contraception

SN - 0010-7824

IS - 1

ER -