Abstract
To evaluate the outcome of late selective fetal termination based on combined data from eight tertiary perinatal centres. Israeli law requires institutional committee approval for pregnancy termination. Moreover, after 24 weeks only a district superior committee can approve the termination. A total of 36 bichorionic twin pregnancies who underwent selective fetal termination after 24 complete gestational weeks were identified in eight Israeli centres. In 23 women (63.9%) the indication for selective termination was structural anomaly, and in 13 (36.1%) the indication was chromosomal abnormality. The mean gestational age at the time of diagnosis was 24.1 +/- 1.9 weeks. The termination procedure was performed at a mean gestational age of 25.5 +/- 2.0 weeks (median 25, range 24-33 weeks). There was one case of immediate procedure-related complication (i.e. amnionitis) and the unaffected infant died, which was the only perinatal death in this series. No evidence of coagulopathy was reported. Only five women (13.8%) delivered before 34 completed weeks. The mean gestational age at delivery was 36.9 +/- 2.9 weeks (28-41 weeks), and the mean procedure-to-delivery interval was 11.8 +/- 3.2 weeks (median 13, range 3-17 weeks). Late (> 24 ...Continue Reading
References
Nov 4, 1978·Lancet·A AbergJ Gehler
Dec 1, 1992·Radiology·A B KurtzP Morgan
Jul 1, 1992·American Journal of Obstetrics and Gynecology·N A GinsbergJ J Barton
Dec 1, 1989·American Journal of Obstetrics and Gynecology·H N WinnJ C Hobbins
Oct 1, 1988·American Journal of Medical Genetics·M S GolbusP Callen
Jan 1, 1988·Journal of Clinical Ultrasound : JCU·E ShalevH Zuckerman
Jan 1, 1988·Archives of Gynecology and Obstetrics·A K WestendorpK Aydinli
Jun 18, 1981·The New England Journal of Medicine·T D Kerenyi, U Chitkara
Jul 1, 1982·Prenatal Diagnosis·C H RodeckS Campbell
Jul 1, 1994·American Journal of Obstetrics and Gynecology·M I EvansY Dumez
Nov 1, 1993·British Journal of Obstetrics and Gynaecology·N M Fisk, E Bryan
Citations
Aug 19, 1999·Prenatal Diagnosis·J ShalevZ Ben-Rafael
Mar 29, 2002·Prenatal Diagnosis·L De Catte, W Foulon
Jun 1, 2005·Clinics in Perinatology·Meredith RochonJoanne Stone
Mar 10, 2001·Fertility and Sterility·F LicciardiN Noyes
Aug 10, 1999·Fertility and Sterility·J ShalevZ Ben-Rafael
Oct 16, 1999·Fertility and Sterility·J ShalevZ B Rafael
Feb 26, 2000·Fertility and Sterility·E GevaJ B Lessing
Oct 10, 2003·Clinics in Perinatology·Melissa C Bush, Keith A Eddleman
Mar 12, 2003·BJOG : an International Journal of Obstetrics and Gynaecology·M V SenatY Ville
Oct 30, 2012·Contraception·Danielle RoncariLynn Borgatta
May 18, 2010·Contraception·Justin DiedrichUNKNOWN Society of Family Planning
Feb 28, 2008·Prenatal Diagnosis·Annelies LustRoland Devlieger
Nov 10, 2011·Contraception·Rachel StewardMary Gatter
Sep 20, 2005·Prenatal Diagnosis·Boaz Weisz, Charles H Rodeck
Jun 28, 2005·Fetal Diagnosis and Therapy·Ahmet GulYavuz Ceylan
May 14, 2018·BMJ Case Reports·Rita CaldasRosete Nogueira
Feb 23, 1999·Journal of Perinatal Medicine·E PapiernikJ Zeitlin
Mar 14, 2003·Current Opinion in Obstetrics & Gynecology·Meredith Rochon, Joanne Stone
Sep 3, 2021·Acta Obstetricia Et Gynecologica Scandinavica·Mar BennasarJosep M Martínez