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Association of gestational age with the option of pregnancy termination for fetal abnormalities incompatible with neonatal survival
OBJECTIVE: To identify the profile of women seen in a Fetal Medicine unit, diagnosed with fetal abnormality incompatible with neonatal survival in their current pregnancy, and to check the association of gestational age upon diagnosis with the option of pregnancy termination. METHODS: This is a retr...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Instituto Israelita de Ensino e Pesquisa Albert Einstein
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5234740/ https://www.ncbi.nlm.nih.gov/pubmed/27759817 http://dx.doi.org/10.1590/S1679-45082016AO3721 |
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author | Westphal, Flavia Fustinoni, Suzete Maria Pinto, Vânia Lopes Melo, Patrícia de Souza Abrahão, Anelise Riedel |
author_facet | Westphal, Flavia Fustinoni, Suzete Maria Pinto, Vânia Lopes Melo, Patrícia de Souza Abrahão, Anelise Riedel |
author_sort | Westphal, Flavia |
collection | PubMed |
description | OBJECTIVE: To identify the profile of women seen in a Fetal Medicine unit, diagnosed with fetal abnormality incompatible with neonatal survival in their current pregnancy, and to check the association of gestational age upon diagnosis with the option of pregnancy termination. METHODS: This is a retrospective cohort study carried out in the Fetal Medicine Outpatients Clinic of a university hospital, in the city of São Paulo (SP), Brazil, using medical records of pregnant women with fetus presenting abnormalities incompatible with neonatal survival. The sample comprised 94 medical records. The Statistical Package for the Social Sciences (SPSS), version 19, was used for the data statistical analysis. RESULTS: The population of the study included young adult women, who had complete or incomplete high school education, employed, with family income of one to three minimum wages, single, nonsmokers, who did not drink alcoholic beverages or used illicit drugs. Women with more advanced gestational age upon fetal diagnosis (p=0.0066) and/or upon admission to the specialized unit (p=0.0018) presented a lower percentage of termination of pregnancy. CONCLUSION: Due to characteristics different from those classically considered as of high gestational risk, these women might not be easily identified during the classification of gestational risk, what may contribute to a late diagnosis of fetal diseases. Early diagnosis enables access to specialized multiprofessional care in the proper time for couple's counseling on the possibility of requesting legal authorization for pregnancy termination. |
format | Online Article Text |
id | pubmed-5234740 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
record_format | MEDLINE/PubMed |
spelling | pubmed-52347402017-02-03 Association of gestational age with the option of pregnancy termination for fetal abnormalities incompatible with neonatal survival Westphal, Flavia Fustinoni, Suzete Maria Pinto, Vânia Lopes Melo, Patrícia de Souza Abrahão, Anelise Riedel Einstein (Sao Paulo) Original Article OBJECTIVE: To identify the profile of women seen in a Fetal Medicine unit, diagnosed with fetal abnormality incompatible with neonatal survival in their current pregnancy, and to check the association of gestational age upon diagnosis with the option of pregnancy termination. METHODS: This is a retrospective cohort study carried out in the Fetal Medicine Outpatients Clinic of a university hospital, in the city of São Paulo (SP), Brazil, using medical records of pregnant women with fetus presenting abnormalities incompatible with neonatal survival. The sample comprised 94 medical records. The Statistical Package for the Social Sciences (SPSS), version 19, was used for the data statistical analysis. RESULTS: The population of the study included young adult women, who had complete or incomplete high school education, employed, with family income of one to three minimum wages, single, nonsmokers, who did not drink alcoholic beverages or used illicit drugs. Women with more advanced gestational age upon fetal diagnosis (p=0.0066) and/or upon admission to the specialized unit (p=0.0018) presented a lower percentage of termination of pregnancy. CONCLUSION: Due to characteristics different from those classically considered as of high gestational risk, these women might not be easily identified during the classification of gestational risk, what may contribute to a late diagnosis of fetal diseases. Early diagnosis enables access to specialized multiprofessional care in the proper time for couple's counseling on the possibility of requesting legal authorization for pregnancy termination. Instituto Israelita de Ensino e Pesquisa Albert Einstein 2016 /pmc/articles/PMC5234740/ /pubmed/27759817 http://dx.doi.org/10.1590/S1679-45082016AO3721 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Westphal, Flavia Fustinoni, Suzete Maria Pinto, Vânia Lopes Melo, Patrícia de Souza Abrahão, Anelise Riedel Association of gestational age with the option of pregnancy termination for fetal abnormalities incompatible with neonatal survival |
title | Association of gestational age with the option of pregnancy termination for fetal abnormalities incompatible with neonatal survival |
title_full | Association of gestational age with the option of pregnancy termination for fetal abnormalities incompatible with neonatal survival |
title_fullStr | Association of gestational age with the option of pregnancy termination for fetal abnormalities incompatible with neonatal survival |
title_full_unstemmed | Association of gestational age with the option of pregnancy termination for fetal abnormalities incompatible with neonatal survival |
title_short | Association of gestational age with the option of pregnancy termination for fetal abnormalities incompatible with neonatal survival |
title_sort | association of gestational age with the option of pregnancy termination for fetal abnormalities incompatible with neonatal survival |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5234740/ https://www.ncbi.nlm.nih.gov/pubmed/27759817 http://dx.doi.org/10.1590/S1679-45082016AO3721 |
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