Source:http://linkedlifedata.com/resource/pubmed/id/10426234
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
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| pubmed:dateCreated |
1999-8-16
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| pubmed:abstractText |
To analyse the process in making decisions leading to termination of pregnancy in the third trimester and to evaluate the maternal morbidity associated with this procedure.
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| pubmed:commentsCorrections | |
| pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/Abortion, Induced--determinants,
http://linkedlifedata.com/resource/pubmed/keyword/Congenital Abnormalities,
http://linkedlifedata.com/resource/pubmed/keyword/Developed Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Diseases,
http://linkedlifedata.com/resource/pubmed/keyword/Europe,
http://linkedlifedata.com/resource/pubmed/keyword/Examinations And Diagnoses,
http://linkedlifedata.com/resource/pubmed/keyword/Family Planning,
http://linkedlifedata.com/resource/pubmed/keyword/Fertility Control, Postconception,
http://linkedlifedata.com/resource/pubmed/keyword/France,
http://linkedlifedata.com/resource/pubmed/keyword/Mediterranean Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Neonatal Diseases And Abnormalities,
http://linkedlifedata.com/resource/pubmed/keyword/Research Methodology,
http://linkedlifedata.com/resource/pubmed/keyword/Research Report,
http://linkedlifedata.com/resource/pubmed/keyword/Retrospective Studies,
http://linkedlifedata.com/resource/pubmed/keyword/SCREENING,
http://linkedlifedata.com/resource/pubmed/keyword/Studies,
http://linkedlifedata.com/resource/pubmed/keyword/ULTRASONICS,
http://linkedlifedata.com/resource/pubmed/keyword/Western Europe
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
AIM
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| pubmed:status |
MEDLINE
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| pubmed:month |
Apr
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| pubmed:issn |
0306-5456
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:volume |
106
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
297-303
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| pubmed:dateRevised |
2004-11-17
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| pubmed:otherAbstract |
PIP: The processes associated with late terminations of pregnancies with a fetal abnormality were assessed in a retrospective study of 956 consecutive second- and third-trimester abortions performed at the Maternite Port Royal University Hospital in Paris, France, in 1986-94. 651 of these terminations were performed in the second trimester and 305 in the third trimester. The main indications for third-trimester abortion were neurologic anomalies, multiple malformations with a normal karyotype, and chromosomal anomalies diagnosed after an abnormal routine ultrasound scan. In 55 cases (18%) of third-trimester induced abortion, the anomaly could not have been diagnosed before the third-trimester. This group included cases of autoimmune hydrops occurring in the third trimester, Down's syndrome revealed by sonographic anomalies, and structural chromosomal anomalies revealed by intrauterine growth restriction or caused by cytomegalovirus infection. In an additional 122 (40%) of the third-trimester abortions, the prognosis of the anomaly could not have been established firmly until the third trimester, even though prenatal diagnosis was feasible earlier. The majority of these cases involved cerebral ventriculomegalies. In another 15 cases (5%), the poor prognosis of the fetus was established in the second trimester, but the termination was postponed, either by the physician or because the couple required more time to reach a decision. In the final 113 cases (37%), the condition for which pregnancy termination was performed in the third trimester could have been identified earlier in pregnancy, but screenings during the second trimester resulted in false-negative findings. Myelomeningocele, trisomy 18 and 13, and lethal dwarfism accounted for the majority of these potentially avoidable third-trimester terminations.
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| pubmed:meshHeading |
pubmed-meshheading:10426234-Abortion, Induced,
pubmed-meshheading:10426234-Chromosome Aberrations,
pubmed-meshheading:10426234-Chromosome Disorders,
pubmed-meshheading:10426234-False Negative Reactions,
pubmed-meshheading:10426234-Female,
pubmed-meshheading:10426234-Humans,
pubmed-meshheading:10426234-Pregnancy,
pubmed-meshheading:10426234-Pregnancy Trimester, Third,
pubmed-meshheading:10426234-Prenatal Diagnosis,
pubmed-meshheading:10426234-Prognosis,
pubmed-meshheading:10426234-Retrospective Studies
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| pubmed:year |
1999
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| pubmed:articleTitle |
The reasons for termination of pregnancy in the third trimester.
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| pubmed:affiliation |
AP-HP Service de Gynécologie-Obstétrique, Hôpital A. Béclère, Clamart, France.
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| pubmed:publicationType |
Journal Article
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