Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-09T10:04:45.947Z Has data issue: false hasContentIssue false

Section 5 - Termination of pregnancy

Published online by Cambridge University Press:  05 April 2016

Bidyut Kumar
Affiliation:
Wrexham Maelor Hospital
Zarko Alfirevic
Affiliation:
University of Liverpool
Get access
Type
Chapter
Information
Fetal Medicine , pp. 243 - 268
Publisher: Cambridge University Press
Print publication year: 2016

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

References

Human Fertilisation and Embryology Act 1990. London: HMSO; 1990. http://www.legislation.gov.uk/ukpga/1990/37/contents.Google Scholar
Statham, H, Solomou, W, Green, J. Late termination of pregnancy: law, policy and decision making in four English fetal medicine units. BJOG 2006; 113: 1402–11.Google Scholar
Abortion Act 1967. Section 3. London: HMSO; 1967. http://www.legislation.gov.uk/ukpga/1967/87/section/3.Google Scholar
Draper, E, Alfirevic, Z, Stacey, F, et al. for the EPICure Study Group. An investigation into the reporting and management of late terminations of pregnancy (between 22+0 and 26+6 weeks of gestation) within NHS Hospitals in England in 2006: the EPICure preterm cohort study. BJOG 2012; 119: 710–5.Google Scholar
R v Smith [1974]. 1 All ER 376, 1 WLR 1510, 58 Cr App Rep 106.Google Scholar
Care Quality Commission (CQC). Findings of termination of pregnancy inspections 2012. http://www.cqc.org.uk/media/findings-termination-pregnancy-inspections-published.Google Scholar
Department of Health. Guidance in relation to requirements of the Abortion Act 1967, May 2014. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/313459/20140509_-_Abortion_Guidance_Document.pdf.Google Scholar
Janaway v Salford Health Authority: All England Law Rep 1988 Dec1; [1988] 3: 1079–84.Google Scholar
Doogan and Wood v. NHS Greater Glasgow and Clyde Health Board [2013] CSIH 36 P876/11. http://www.bailii.org/scot/cases/ScotCS/2013/2013CSIH36.html.Google Scholar
General Medical Council. Personal beliefs and medical practice, 2013. http://www.gmc-uk.org/Personal_beliefs_and_medical_practice.pdf_51462245.pdf.Google Scholar
Royal College of Nursing. Termination of pregnancy, an RCN nursing framework, 2013. http://www.rcn.org.uk/__data/assets/pdf_file/0004/529654/Terminationofpregnancy_WEB.pdf.Google Scholar
Kelly v Kelly [1997]. ScotCS CSIH_2 (24 May 1997). http://www.bailii.org/scot/cases/ScotCS/1997/1997_SC_285.html.Google Scholar
Hone v Hansell [unrep, March 2001].Google Scholar
Paton v BPAS [1979] QB 276.Google Scholar
Paton v UK [1981] 3 EHRR 408.Google Scholar
Northern Ireland Department of Health, Social Services and Public Safety. The limited circumstances for a lawful termination of pregnancy in Northern Ireland. A guidance document, 2013. http://www.dhsspsni.gov.uk/guidance-limited-circumstances-termination-pregnancy-april-2013.pdf.Google Scholar
Northern Ireland Department of Health, Social Services and Public Safety. Written statement to the Assembly, 2012. http://www.dhsspsni.gov.uk/termination-statement.Google Scholar
Northern Ireland Statistics and Research Agency. Birth and Deaths Reports. www.nisra.gov.uk/demography/default.asp23.htm.Google Scholar
Lynn, F, McNeill, J, Alderdice, F. Current trends in antenatal screening services: results from a regional survey. Ulster Med J 2010; 79(1): 12–5.Google Scholar
Royal College of Obstetricians and Gynaecologists (RCOG). Termination of Pregnancy for Fetal Abnormality in England, Wales and Scotland. Working Party Report. London: RCOG, 1996.Google Scholar
Department of Health. Report on abortion statistics in England and Wales for 2012, July 2013. https://www.gov.uk/government/publications/report-on-abortion-statistics-in-england-and-wales-for-2012.Google Scholar
Nuffield Council on Bioethics. Critical Care Decisions in Fetal and Neonatal Medicine: Ethical Issues. London: Nuffield Council on Bioethics, 2006. www.nuffieldbioethics.org/go/ourwork/neonatal/publication_406.html.Google Scholar
British Association of Perinatal Medicine. Palliative care (supportive and end of life care). A framework for clinical practice in perinatal medicine, 2010. http://www.bapm.org/publications/documents/guidelines/Palliative_Care_Report_final_%20Aug10.pdf.Google Scholar
Royal College of Paediatrics and Child Health (RCPCH). Withholding or Withdrawing Life Sustaining Treatment in Children: A Framework for Practice, 2nd edn. London: RCPCH, 2004. [www.library.nhs.uk/GUIDELINESFINDER/ViewResource.aspx?resID=298393].Google Scholar
Royal College of Obstetricians and Gynaecologists (RCOG). Additional report from the RCOG Ethics Committee. Further issues relating to late abortion, fetal viability and registration of births and deaths. London. RCOG, 2001.Google Scholar
National Health Service Scotland. Information Services Division (ISD) Scotland Abortion Statistics 2012, May 2013. http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/2013-05-28/2013-05-28-Abortions-Summary.pdf?58079165221.Google Scholar
Healthcare Quality Improvement Partnership UK. Confidential Enquiry into Maternal and Child Health: Perinatal Mortality, 2009. www.hqip.org.uk/assets/NCAPOP-Library/CMACE-Reports/35.-March-2011-Perinatal-Mortality-2009.pdf.Google Scholar
National Institute for Clinical Excellence (NICE). Antenatal Care: Routine Care for the Healthy Pregnant Woman. NICE Clinical Guideline CG62. London: NICE, 2008 http://guidance.nice.org.uk/CG62.Google Scholar
Public Health England. The National Down Syndrome Cytogenetic Register for England and Wales. 2012 Annual Report, 2013. http://www.wolfson.qmul.ac.uk/current-projects/downs-syndrome-register#annual-reportGoogle Scholar
Centre for Maternal and Child Enquiries (CMACE). Saving mothers’ lives. Reviewing maternal deaths to make motherhood safer: 2006–2008. BJOG 2011; 118 (Suppl. 1): 1203.Google Scholar

References

Royal College of Obstetricians and Gynaecologists (RCOG). The Care of Women Requesting Induced Abortion. Evidence-based Clinical guideline No. 7. London: RCOG Press, 2011.Google Scholar
Royal College of Obstetricians and Gynaecologists (RCOG). Termination of Pregnancy for Fetal Abnormality in England, Scotland and Wales. Report of a Working Party. London: RCOG Press, 2010.Google Scholar
Kerns, J, Vanjani, R, Freedman, L, et al. Women’s decision making regarding choice of second trimester termination method for pregnancy complications. Int J Gynaecol Obst 2012; 116(3): 244–8.Google ScholarPubMed
Asplin, N, Wessel, H, Marions, L, et al. Pregnancy termination due to fetal anomaly: Women’s reactions, satisfaction and experiences of care. Midwifery 2014; 30(6): 620–7.Google Scholar
Royal College of Obstetricians and Gynaecologists (RCOG). Termination of Pregnancy for Fetal Abnormality in England, Wales and Scotland. Working Party Report. London: RCOG Press, 1996.Google Scholar
Wyldes, MP, Tonks, AM. Termination of pregnancy for fetal anomaly: a population-based study 1995 to 2004. BJOG 2007; 114: 639–42.Google Scholar
Draper, E, Alfirevic, Z, Stacey, F, et al. for the EPICure Study Group. An investigation into the reporting and management of late terminations of pregnancy (between 22+0 and 26+6 weeks of gestation) within NHS Hospitals in England in 2006: the EPICure preterm cohort study. BJOG 2012; 119: 710–5.Google Scholar
Royal College of Obstetricians and Gynaecologists (RCOG). Fetal Awareness: Review of Research and Recommendations for Practice. Report of a Working Party. London: RCOG Press, 2010. http://www.rcog.org.uk/files/rcogcorp/RCOGFetalAwarenessWPR0610.pdf.Google Scholar
Graham, RH, Mason, K, Rankin, J, et al. The role of feticide in the context of late termination of pregnancy: a qualitative study of health professionals’ and parents’ views. Prenat Diagn 2009; 29: 875–81.Google Scholar
Royal College of Obstetricians and Gynaecologists (RCOG). Further issues relating to late abortion, fetal viability and registration of births and deaths. RCOG Statement. London: RCOG Press; 2001.Google Scholar
Pasquini, L, Pontello, V, Kumar, S. Intracardiac injection of potassium chloride as a method for feticide: experience from a single UK tertiary centre. BJOG 2008; 115: 528–31.Google Scholar
Bhide, A, Sairam, S, Hollis, B, et al. Comparison of feticide carried out by cordocentesis versus cardiac puncture. Ultrasound Obstet Gynecol 2002; 20: 230–2.Google Scholar
Molaei, M, Jones, HE, Weiselberg, T, et al. Effectiveness and safety of digoxin to induce fetal demise prior to second-trimester abortion. Contraception 2008; 77: 223–5.Google Scholar
Lyus, R, Robson, S, Parsons, J, et al. Second trimester abortion for fetal abnormality. BMJ 2013; 347: f4165.Google Scholar
Department of Health. Report on abortion statistics in England and Wales for 2012, July 2013. https://www.gov.uk/government/publications/report-on-abortion-statistics-in-england-and-wales-for-2012.Google Scholar
Kelly, T, Suddes, J, Howel, D, et al. Comparing medical versus surgical termination of pregnancy at 13–20 weeks of gestation: a randomised controlled trial. BJOG 2010; 117: 1512–20.Google Scholar
Wildschut, H, Both, MI, Medema, S, et al. Medical methods for mid-trimester termination of pregnancy. Cochrane Database Syst Rev 2011; (1): CD005216.Google Scholar
World Health Organization (WHO). WHO Task Force on Post-ovulatory Methods of Fertility Regulation. Termination of pregnancy with reduced doses of mifepristone. BMJ 1993; 307: 532–7.Google Scholar
World Health Organization (WHO). WHO Task Force on Post-ovulatory Methods of Fertility Regulation. Comparison of two doses of mifepristone in combination with misoprostol for early medical abortion: a randomised trial. BJOG 2000; 107: 524–30.Google Scholar
European Commission. Council Directive 65/65/EC on the approximation of provisions laid down by law, regulation or administrative action relating to medicinal products. Official Journal 1965; 22: 369–73. http://www.echamp.eu/fileadmin/user_upload/Regulation/Directive_65-65-EEC-Consolidated_Version.pdf.Google Scholar
World Health Organization. Safe Abortion: technical and policy guidance for health systems, 2nd edn, 2012.Google Scholar
Hamoda, H, Ashok, PW, Flett, GM, et al. Medical abortion at 64 to 91 days of gestation: a review of 483 consecutive cases. Am J Obstet Gynecol 2003; 188: 1315–9.CrossRefGoogle ScholarPubMed
Ashok, PW, Kidd, A, Flett, GM, et al. A randomized comparison of medical abortion and surgical vacuum aspiration at 10–13 weeks gestation. Hum Reprod 2002; 17: 92–8.Google Scholar
Webster, D, Penney, GC, Templeton, A. A comparison of 600 and 200 mg mifepristone prior to second trimester abortion with the prostaglandin misoprostol. Br J Obstet Gynaecol 1996; 103: 706–9.Google Scholar
Bartley, J, Baird, DT. A randomised study of misoprostol and gemeprost in combination with mifepristone for induction of abortion in the second trimester of pregnancy. BJOG 2002; 109: 1290–4.Google Scholar
Gemzell-Danielsson, K, Lalitkumar, S. Second trimester medical abortion with mifepristone-misprostol and misoprostol alone: a review of methods and management. Reprod Health Matters 2008; 16(31): 162–72.Google Scholar
World Health Organization (WHO). WHO recommendations for Induction of Labour. Geneva: WHO, 2011.Google Scholar
Ashok, PW, Templeton, A, Wagaarachchi, PT, et al. Midtrimester medical termination of pregnancy: a review of 1002 consecutive cases. Contraception 2004; 69(1): 51–8.Google Scholar
Davis, VJ. Induced abortion guidelines, Society of Obstetricians and Gynaecologists of Canada clinical practice guidelines No. 184. J Obstet Gynaecol Can 2008; 30(11): 1014–27.Google Scholar
Hammond, C. Recent advances in second-trimester abortion: an evidence-based review. Am J Obstet Gynecol 2009; 200(4): 347–56.Google Scholar
Berghella, V, Airoldi, J, O’Neill, AM, et al. Misoprostol for second trimester pregnancy termination in women with prior caesarean: a systematic review. BJOG 2009; 116(9): 1151–7.Google Scholar
Dodd, JM, Crowther, CA. Misoprostol versus cervagem for the induction of labour to terminate pregnancy in the second and third trimester: a systematic review. Eur J Obstet Gynecol Reprod Biol 2006; 125(1): 38.Google Scholar
Güleç, UK, Urunsak, IF, Eser, E, et al. Misoprostol for midtrimester termination of pregnancy in women with 1 or more prior cesarean deliveries. Int J of Gynecol Obstet 2013; 120(1): 8587.Google Scholar
Fawzy, M, Abdel-Hady el, S. Midtrimester abortion using vaginal misoprostol for women with three or more prior cesarean deliveries. Int J Gynecol Obstet 2010; 110(1): 50–2.Google Scholar
Gemzell-Danielsson, K, Ostlund, E. Termination of second trimester pregnancy with mifepristone and gemeprost. The clinical experience of 197 consecutive cases. Acta Obstet Gynecol Scand 2000; 79(8): 702–6.Google Scholar
Jackson, E, Kapp, N. Pain control in first-trimester and second-trimester medical termination of pregnancy: a systematic review. Contraception 2011; 83: 116–26.Google Scholar
Fiala, C, Swahn, ML, Stephansson, O, et al. The effect of non-steroidal anti-inflammatory drugs on medical abortion with mifepristone and misoprostol at 13–22 weeks gestation. Hum Reprod 2005; 20: 3072–7.Google Scholar
Hamoda, H, Ashok, PW, Flett, GM, et al. Analgesia requirements and predictors of analgesia use for women undergoing medical abortion up to 22 weeks of gestation. BJOG 2004; 111(9): 9961000.Google Scholar
Tuncalp, O, Gülmezoglu, AM, Souza, JP. Surgical procedures for evacuating incomplete miscarriage. Cochrane Database Syst Rev 2010; 9: CD001993.Google Scholar
Kulier, R, Cheng, L, Fekih, A, et al. Surgical methods for first trimester termination of pregnancy. Cochrane Database Syst Rev 2001; 4: CD002900.Google Scholar
Stubblefield, PG, Albrecht, BH, Koos, B, et al. A randomized study of 12 mm and 15.9 mm cannulas in midtrimester abortion by laminaria and vacuum curettage. Fertil Steril 1978; 29: 512–7.Google Scholar
Kapp, N, Lohr, PA, Ngo, TD, et al. Cervical preparation for first trimester surgical abortion. Cochrane Database Syst Rev 2010; 2: CD007207.Google ScholarPubMed
Newmann, SJ, Dalve-Endres, A, Diedrich, JT, et al. Cervical preparation for second trimester dilation and evacuation. Cochrane Database Syst Rev 2010; 8: CD007310.Google Scholar
Li, CF, Wong, CY, Chan, CP, et al. A study of co-treatment of nonsteroidal anti-inflammatory drugs (NSAIDs) with misoprostol for cervical priming before suction termination of first trimester pregnancy. Contraception 2003; 67: 101–5.Google Scholar
Niinimäki, M, Pouta, A, Bloigu, A, et al. Immediate complications after medical compared with surgical termination of pregnancy. Obstet Gynecol 2009; 114: 795804.Google Scholar
Grimes, DA, Schulz, KF. Morbidity and mortality from second-trimester abortions. J Reprod Med 1985; 30: 505–14.Google Scholar
Ashok, PW, Kidd, A, Flett, GM, et al. A randomized comparison of medical abortion and surgical vacuum aspiration at 10–13 weeks gestation. Hum Reprod 2002; 17: 92–8.Google Scholar
Neilson, JP, Gyte, GM, Hickey, M, et al. Medical treatments for incomplete miscarriage (less than 24 weeks). Cochrane Database Syst Rev 2010; 1: CD007223.Google Scholar
Low, N, Mueller, M, Van Viet, HAAM, et al. Perioperative antibiotics to prevent infection after first-trimester abortion. Cochrane Database Syst Rev 2012; 3: CD005217.Google Scholar
Ho, CS, Bhatnagar, J, Cohen, AL, et al. Undiagnosed cases of fatal Clostridium-associated toxic shock in Californian women of childbearing age. Am J Obstet Gynecol 2009; 201: 459–7.Google Scholar
Kale, SG, Szigetvari, IA, Bartfai, GS. The frequency and management of uterine perforations during 1st-trimester abortions. Am J Obstet Gynecol 1989; 161: 406–8.Google Scholar
Rowland Hogue, CJ, Terry, MPH, Boardman, LA, et al. Answering questions about long-term outcomes. In: Paul, M, Lichtenberg, ES, Borgatta, L, et al., (eds). Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care. Hoboken, NJ: Wiley-Blackwell, 2009: 252–63.Google Scholar

References

Royal College of Obstetricians and Gynaecologists (RCOG). Termination of Pregnancy for Fetal Abnormality in England, Scotland and Wales. Report of a Working Party. London: RCOG Press, 2010.Google Scholar
Royal College of Obstetricians and Gynaecologists (RCOG). The Use of Anti-D Immunoglobulin for Rhesus D Prophylaxis. London: RCOG Press, 2011. http://www.rcog.org.uk/womens-health/clinical-guidance/use-anti-d-immunoglobulin-rh-prophylaxis-green-top-22.Google Scholar
Jabara, S, Barnhart, KT. Is Rh immune globulin needed in early first-trimester abortion? A review. Am J Obstet Gynecol 2003; 188: 623–7.Google Scholar
Spitz, AM, Lee, NC, Peterson, HB. Treatment for lactation suppression: little progress in one hundred years. Am J Obstet Gynecol 1998; 179: 1485–90.Google Scholar
European Multicentre Study Group for Cabergoline in Lactation Inhibition. Single dose cabergoline versus bromocriptine in inhibition of puerperal lactation: randomised, double blind, multicentre study. BMJ 1991; 302: 1367–71.Google Scholar
Oladapo, OT, Fawole, B. Treatment for suppression of lactation. Cochrane Database Syst Rev 2012; (9): CD005937.Google Scholar
Kremer, JA, van der Heijden, PF, Schellekens, LA, et al. Postpartum return of pituitary and ovarian activity during lactation inhibition with the new dopamine agonist CV 205–502 and during normal lactation. Acta Endocrinol (Copenh) 1990; 122: 759–65.Google Scholar
Gaffield, ME, Kapp, N, Ravi, A. Use of combined oral contraceptives post abortion. Contraception 2009; 80: 355–62.Google Scholar
World Health Organization (WHO). Selected practice recommendations for contraceptive use, 2nd edn. Geneva: WHO, 2004. http://whqlibdoc.who.int/publications/2004/9241562846.pdf.Google Scholar
Royal College of Obstetricians and Gynaecologists (RCOG). Late Intrauterine Fetal Death and Stillbirth. Green-Top Guideline No. 55. London: RCOG Press, 2010.Google Scholar
Korenromp, MJ, Page-Christiaens, GC, van den Bout, J, et al. Adjustment to termination of pregnancy for fetal anomaly: a longitudinal study in women at 4, 8, and 16 months. Am J Obstet Gynecol 2009; 201(2): 160 e17.Google Scholar
Korenromp, MJ, Page-Christiaens, GC, van den Bout, J, et al. Long-term psychological consequences of pregnancy termination for fetal abnormality: a cross-sectional study. Prenat Diagn. 2005; 25(3): 253–60.Google Scholar
Royal College of Nursing (RCN). Sensitive disposal of fetal remains. London: RCN, 2007. http://www.rcn.org.uk/__data/assets/pdf_file/0020/78500/001248.pdf.Google Scholar
Human Tissue Authority (HTA). Code of Practice 5 – Disposal of human tissue: Disposal following pregnancy loss. London: HTA, 2009.Google Scholar
Royal College of Obstetricians and Gynaecologists (RCOG). Disposal following pregnancy loss before 24 weeks of gestation. Good Practice No. 5. London: RCOG Press, 2005. http://www.rcog.org.uk/womens-health/clinical-guidance/disposal-following-pregnancy-loss-24-weeks-gestation.Google Scholar
Stillbirth and Neonatal Death Society. Pregnancy Loss and the Death of a Baby: Guidelines for Professionals, 2007. http://www.uk-sands.org/professionals/resources-for-health-professionals/the-sands-guidelines.Google Scholar
Lafarge, C, Mitchell, K, Fox, P. Women’s experiences of coping with pregnancy termination for fetal abnormality. Qual Health Res 2013; 23(7): 924–36.Google Scholar
Statham, H, Solomou, W, Green, JM. When the Baby has an Abnormality: A Study of Parents’ Experiences. Cambridge: Centre for Family Research, University of Cambridge, 2001.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×