Association of gestational age with the option of pregnancy termination for fetal abnormalities incompatible with neonatal survival
ABSTRACT 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: Thi...
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
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| Series: | Einstein (São Paulo) |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082016000300311&lng=en&tlng=en |
| _version_ | 1818941357315588096 |
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| author | Flavia Westphal Suzete Maria Fustinoni Vânia Lopes Pinto Patrícia de Souza Melo Anelise Riedel Abrahão |
| author_facet | Flavia Westphal Suzete Maria Fustinoni Vânia Lopes Pinto Patrícia de Souza Melo Anelise Riedel Abrahão |
| author_sort | Flavia Westphal |
| collection | DOAJ |
| description | ABSTRACT 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. |
| first_indexed | 2024-12-20T06:54:15Z |
| format | Article |
| id | doaj.art-0d7ab85ec7904abf97635f43b46946c3 |
| institution | Directory Open Access Journal |
| issn | 2317-6385 |
| language | English |
| last_indexed | 2024-12-20T06:54:15Z |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-0d7ab85ec7904abf97635f43b46946c32022-12-21T19:49:24ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-638514331131610.1590/S1679-45082016AO3721S1679-45082016000300311Association of gestational age with the option of pregnancy termination for fetal abnormalities incompatible with neonatal survivalFlavia WestphalSuzete Maria FustinoniVânia Lopes PintoPatrícia de Souza MeloAnelise Riedel AbrahãoABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082016000300311&lng=en&tlng=enCongenital abnormalitiesFetal viabilityAbortionlegalDecision making |
| spellingShingle | Flavia Westphal Suzete Maria Fustinoni Vânia Lopes Pinto Patrícia de Souza Melo Anelise Riedel Abrahão Association of gestational age with the option of pregnancy termination for fetal abnormalities incompatible with neonatal survival Einstein (São Paulo) Congenital abnormalities Fetal viability Abortion legal Decision making |
| 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 | Congenital abnormalities Fetal viability Abortion legal Decision making |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082016000300311&lng=en&tlng=en |
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