Maternal-fetal medicine subspecialists' provision of second-trimester termination services

Jennifer L. Kerns, Jody E. Steinauer, Melissa G. Rosenstein, Jema K. Turk, Aaron B. Caughey, Mary D'Alton

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

ObjectiveMost abortions for pregnancy complications occur in the second trimester. Little is known about whether maternal-fetal medicine subspecialists (MFMs) perform terminations for these women. Study DesignWe surveyed all members of Society of Maternal Fetal Medicine by e-mail or mail regarding second-trimester abortion provision. We conducted analyses of whether MFMs perform abortions, by what method, and how frequently. ResultsOur response rate was 32.4% (689/2,125). Over two-thirds of respondents perform either dilation and evacuation (D&E) or induction; 31% perform D&Es. Male gender, frequent chorionic villus sampling provision, and being trained in D&E during fellowship are associated with performing D&Es. Nonprovision of any second-trimester abortion is significantly associated with age over 50, nonacademic practice setting, and less supportive abortion attitudes (p<0.001). A nonsignificant trend toward association between south/southeast region and nonprovision of any second-trimester abortion is seen (p=0.09). ConclusionMany MFMs include D&E and induction termination services in their practice. Supporting current D&E providers and expanding training options for MFMs may optimize care for women diagnosed with serious pregnancy complications.

Original languageEnglish (US)
Pages (from-to)709-716
Number of pages8
JournalAmerican journal of perinatology
Volume29
Issue number9
DOIs
StatePublished - May 28 2012

Keywords

  • fetal anomalies
  • fetal demise
  • pregnancy complications
  • termination of pregnancy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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