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 language | English (US) |
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Pages (from-to) | 709-716 |
Number of pages | 8 |
Journal | American journal of perinatology |
Volume | 29 |
Issue number | 9 |
DOIs | |
State | Published - 2012 |
Keywords
- fetal anomalies
- fetal demise
- pregnancy complications
- termination of pregnancy
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Obstetrics and Gynecology