Dilation and evacuation for second-trimester genetic pregnancy termination Article

cited authors

  • Shulman, LP; Ling, FW; Meyers, CM; Shanklin, DR; Simpson, JL; Elias, S

fiu authors

abstract

  • Dilation and evacuation (D&E) is the most common procedure for second-trimester pregnancy termination currently used by United States obstetrician-gynecologists. Although this method carries morbidity and mortality rates significantly lower than methods requiring labor induction, the procedure most commonly used for second-trimester genetic terminations seems to be labor induction (eg, vaginal prostaglandin suppositories). Many geneticists appear reluctant to recommend D&E over induction methods of pregnancy termination because they perceive that fetal abnormalities cannot be consistently confirmed by evaluation of the products of conception obtained by D&E. We report here 60 consecutive patients who underwent D&E (14–22 weeks’ gestation) after detection of fetal abnormalities. The prenatal diagnoses were confirmed in all cases. Our experience thus indicates that D&E is reliable in confirming most prenatal diagnoses and should be the procedure of choice when second-trimester pregnancy termination is chosen because of fetal abnormalities. © 1990 The American College of Obstetricians and Gynecologists.

publication date

  • January 1, 1990

start page

  • 1037

end page

  • 1040

volume

  • 75

issue

  • 6