Retrospective analysis of stillbirth and induced termination of pregnancies: Factors affecting determination

Objective: The aim of this study was to identify the factors and frequencies of induced termination of pregnancies. Materials and methods: This is a retrospective study of 488 terminations of pregnancies (TOPs) between January 2011 and December 2021 to demonstrate the factors affecting the decision to terminate the pregnancy. All cases had been hospitalized to manage the induction of labor. Methods included serial multiple laminaria dilation of the cervix and administration of a cervical misoprostol suppository. After induction of labor, the subject may experience amniotomy, instrumental evacuation of the uterus, and even hysterotomy. Pre-procedure counseling included an agreement to share medical records (paper-based and electronic). We verified the indications for all patients seeking TOPs. All cases were performed according to known diagnostic classifications and divided into seven groups for analysis. Results: The patient ages ranged from 12 to 46 years. The median maternal age was 34 years [interquartile range (IQR) 30, 37]; 52.2% had at least one prior delivery. The pre-procedure diagnosis was divided into seven groups including the following: chromosomal and genetic abnormalities (146/488, 29.9%), no intrauterine heartbeats (126/488, 25.8%), structural anomalies (84/488, 17.2%), elective termination (56/488, 11.5%), preterm premature rupture of membranes (PPROM) (42/488, 8.6%), cervical incompetence (32/488, 6.6%), and other conditions (2/488, 0.4%). After excluding elective terminations, the eleven-year rate of fetal death and stillbirth to births did not show significant changes from 2011 to 2021. Conclusions: Knowing the factors underlying the decision to induce intrauterine fetal death (IUFD) including reasons for objecting to pregnancy are important for obstetricians—they can offer better planning and medical counseling. It is important to educate all women about family planning to prevent large numbers of unwanted and unsafe pregnancy terminations. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Ching Hua Hsiao [verfasserIn] Ching Hsuan Chen [verfasserIn] Yi Fen Chang [verfasserIn] Ju Chin Tsauer [verfasserIn] Wei Shin Chou [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Terminations of pregnancies (TOPs) Intrauterine fetal death (IUFD) Cervical incompetence (CI) Congenital chromosomal (CCA) or structural (CSA) abnormalities Preterm premature rupture of membranes (PPROM)

Übergeordnetes Werk:	In: Taiwanese Journal of Obstetrics & Gynecology - Elsevier, 2017, 61(2022), 4, Seite 626-629
Übergeordnetes Werk:	volume:61 ; year:2022 ; number:4 ; pages:626-629

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/j.tjog.2022.05.002

Katalog-ID:	DOAJ043582338

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520			\|a Objective: The aim of this study was to identify the factors and frequencies of induced termination of pregnancies. Materials and methods: This is a retrospective study of 488 terminations of pregnancies (TOPs) between January 2011 and December 2021 to demonstrate the factors affecting the decision to terminate the pregnancy. All cases had been hospitalized to manage the induction of labor. Methods included serial multiple laminaria dilation of the cervix and administration of a cervical misoprostol suppository. After induction of labor, the subject may experience amniotomy, instrumental evacuation of the uterus, and even hysterotomy. Pre-procedure counseling included an agreement to share medical records (paper-based and electronic). We verified the indications for all patients seeking TOPs. All cases were performed according to known diagnostic classifications and divided into seven groups for analysis. Results: The patient ages ranged from 12 to 46 years. The median maternal age was 34 years [interquartile range (IQR) 30, 37]; 52.2% had at least one prior delivery. The pre-procedure diagnosis was divided into seven groups including the following: chromosomal and genetic abnormalities (146/488, 29.9%), no intrauterine heartbeats (126/488, 25.8%), structural anomalies (84/488, 17.2%), elective termination (56/488, 11.5%), preterm premature rupture of membranes (PPROM) (42/488, 8.6%), cervical incompetence (32/488, 6.6%), and other conditions (2/488, 0.4%). After excluding elective terminations, the eleven-year rate of fetal death and stillbirth to births did not show significant changes from 2011 to 2021. Conclusions: Knowing the factors underlying the decision to induce intrauterine fetal death (IUFD) including reasons for objecting to pregnancy are important for obstetricians—they can offer better planning and medical counseling. It is important to educate all women about family planning to prevent large numbers of unwanted and unsafe pregnancy terminations.
650		4	\|a Terminations of pregnancies (TOPs)
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allfields	10.1016/j.tjog.2022.05.002 doi (DE-627)DOAJ043582338 (DE-599)DOAJ684d4876658f41d185a617c85f2bdd66 DE-627 ger DE-627 rakwb eng RG1-991 Ching Hua Hsiao verfasserin aut Retrospective analysis of stillbirth and induced termination of pregnancies: Factors affecting determination 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: The aim of this study was to identify the factors and frequencies of induced termination of pregnancies. Materials and methods: This is a retrospective study of 488 terminations of pregnancies (TOPs) between January 2011 and December 2021 to demonstrate the factors affecting the decision to terminate the pregnancy. All cases had been hospitalized to manage the induction of labor. Methods included serial multiple laminaria dilation of the cervix and administration of a cervical misoprostol suppository. After induction of labor, the subject may experience amniotomy, instrumental evacuation of the uterus, and even hysterotomy. Pre-procedure counseling included an agreement to share medical records (paper-based and electronic). We verified the indications for all patients seeking TOPs. All cases were performed according to known diagnostic classifications and divided into seven groups for analysis. Results: The patient ages ranged from 12 to 46 years. The median maternal age was 34 years [interquartile range (IQR) 30, 37]; 52.2% had at least one prior delivery. The pre-procedure diagnosis was divided into seven groups including the following: chromosomal and genetic abnormalities (146/488, 29.9%), no intrauterine heartbeats (126/488, 25.8%), structural anomalies (84/488, 17.2%), elective termination (56/488, 11.5%), preterm premature rupture of membranes (PPROM) (42/488, 8.6%), cervical incompetence (32/488, 6.6%), and other conditions (2/488, 0.4%). After excluding elective terminations, the eleven-year rate of fetal death and stillbirth to births did not show significant changes from 2011 to 2021. Conclusions: Knowing the factors underlying the decision to induce intrauterine fetal death (IUFD) including reasons for objecting to pregnancy are important for obstetricians—they can offer better planning and medical counseling. It is important to educate all women about family planning to prevent large numbers of unwanted and unsafe pregnancy terminations. Terminations of pregnancies (TOPs) Intrauterine fetal death (IUFD) Cervical incompetence (CI) Congenital chromosomal (CCA) or structural (CSA) abnormalities Preterm premature rupture of membranes (PPROM) Gynecology and obstetrics Ching Hsuan Chen verfasserin aut Yi Fen Chang verfasserin aut Ju Chin Tsauer verfasserin aut Wei Shin Chou verfasserin aut In Taiwanese Journal of Obstetrics & Gynecology Elsevier, 2017 61(2022), 4, Seite 626-629 (DE-627)500021422 (DE-600)2202946-1 10284559 nnns volume:61 year:2022 number:4 pages:626-629 https://doi.org/10.1016/j.tjog.2022.05.002 kostenfrei https://doaj.org/article/684d4876658f41d185a617c85f2bdd66 kostenfrei http://www.sciencedirect.com/science/article/pii/S1028455922001450 kostenfrei https://doaj.org/toc/1028-4559 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_2014 GBV_ILN_2068 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 61 2022 4 626-629
spelling	10.1016/j.tjog.2022.05.002 doi (DE-627)DOAJ043582338 (DE-599)DOAJ684d4876658f41d185a617c85f2bdd66 DE-627 ger DE-627 rakwb eng RG1-991 Ching Hua Hsiao verfasserin aut Retrospective analysis of stillbirth and induced termination of pregnancies: Factors affecting determination 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: The aim of this study was to identify the factors and frequencies of induced termination of pregnancies. Materials and methods: This is a retrospective study of 488 terminations of pregnancies (TOPs) between January 2011 and December 2021 to demonstrate the factors affecting the decision to terminate the pregnancy. All cases had been hospitalized to manage the induction of labor. Methods included serial multiple laminaria dilation of the cervix and administration of a cervical misoprostol suppository. After induction of labor, the subject may experience amniotomy, instrumental evacuation of the uterus, and even hysterotomy. Pre-procedure counseling included an agreement to share medical records (paper-based and electronic). We verified the indications for all patients seeking TOPs. All cases were performed according to known diagnostic classifications and divided into seven groups for analysis. Results: The patient ages ranged from 12 to 46 years. The median maternal age was 34 years [interquartile range (IQR) 30, 37]; 52.2% had at least one prior delivery. The pre-procedure diagnosis was divided into seven groups including the following: chromosomal and genetic abnormalities (146/488, 29.9%), no intrauterine heartbeats (126/488, 25.8%), structural anomalies (84/488, 17.2%), elective termination (56/488, 11.5%), preterm premature rupture of membranes (PPROM) (42/488, 8.6%), cervical incompetence (32/488, 6.6%), and other conditions (2/488, 0.4%). After excluding elective terminations, the eleven-year rate of fetal death and stillbirth to births did not show significant changes from 2011 to 2021. Conclusions: Knowing the factors underlying the decision to induce intrauterine fetal death (IUFD) including reasons for objecting to pregnancy are important for obstetricians—they can offer better planning and medical counseling. It is important to educate all women about family planning to prevent large numbers of unwanted and unsafe pregnancy terminations. Terminations of pregnancies (TOPs) Intrauterine fetal death (IUFD) Cervical incompetence (CI) Congenital chromosomal (CCA) or structural (CSA) abnormalities Preterm premature rupture of membranes (PPROM) Gynecology and obstetrics Ching Hsuan Chen verfasserin aut Yi Fen Chang verfasserin aut Ju Chin Tsauer verfasserin aut Wei Shin Chou verfasserin aut In Taiwanese Journal of Obstetrics & Gynecology Elsevier, 2017 61(2022), 4, Seite 626-629 (DE-627)500021422 (DE-600)2202946-1 10284559 nnns volume:61 year:2022 number:4 pages:626-629 https://doi.org/10.1016/j.tjog.2022.05.002 kostenfrei https://doaj.org/article/684d4876658f41d185a617c85f2bdd66 kostenfrei http://www.sciencedirect.com/science/article/pii/S1028455922001450 kostenfrei https://doaj.org/toc/1028-4559 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_2014 GBV_ILN_2068 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 61 2022 4 626-629
allfields_unstemmed	10.1016/j.tjog.2022.05.002 doi (DE-627)DOAJ043582338 (DE-599)DOAJ684d4876658f41d185a617c85f2bdd66 DE-627 ger DE-627 rakwb eng RG1-991 Ching Hua Hsiao verfasserin aut Retrospective analysis of stillbirth and induced termination of pregnancies: Factors affecting determination 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: The aim of this study was to identify the factors and frequencies of induced termination of pregnancies. Materials and methods: This is a retrospective study of 488 terminations of pregnancies (TOPs) between January 2011 and December 2021 to demonstrate the factors affecting the decision to terminate the pregnancy. All cases had been hospitalized to manage the induction of labor. Methods included serial multiple laminaria dilation of the cervix and administration of a cervical misoprostol suppository. After induction of labor, the subject may experience amniotomy, instrumental evacuation of the uterus, and even hysterotomy. Pre-procedure counseling included an agreement to share medical records (paper-based and electronic). We verified the indications for all patients seeking TOPs. All cases were performed according to known diagnostic classifications and divided into seven groups for analysis. Results: The patient ages ranged from 12 to 46 years. The median maternal age was 34 years [interquartile range (IQR) 30, 37]; 52.2% had at least one prior delivery. The pre-procedure diagnosis was divided into seven groups including the following: chromosomal and genetic abnormalities (146/488, 29.9%), no intrauterine heartbeats (126/488, 25.8%), structural anomalies (84/488, 17.2%), elective termination (56/488, 11.5%), preterm premature rupture of membranes (PPROM) (42/488, 8.6%), cervical incompetence (32/488, 6.6%), and other conditions (2/488, 0.4%). After excluding elective terminations, the eleven-year rate of fetal death and stillbirth to births did not show significant changes from 2011 to 2021. Conclusions: Knowing the factors underlying the decision to induce intrauterine fetal death (IUFD) including reasons for objecting to pregnancy are important for obstetricians—they can offer better planning and medical counseling. It is important to educate all women about family planning to prevent large numbers of unwanted and unsafe pregnancy terminations. Terminations of pregnancies (TOPs) Intrauterine fetal death (IUFD) Cervical incompetence (CI) Congenital chromosomal (CCA) or structural (CSA) abnormalities Preterm premature rupture of membranes (PPROM) Gynecology and obstetrics Ching Hsuan Chen verfasserin aut Yi Fen Chang verfasserin aut Ju Chin Tsauer verfasserin aut Wei Shin Chou verfasserin aut In Taiwanese Journal of Obstetrics & Gynecology Elsevier, 2017 61(2022), 4, Seite 626-629 (DE-627)500021422 (DE-600)2202946-1 10284559 nnns volume:61 year:2022 number:4 pages:626-629 https://doi.org/10.1016/j.tjog.2022.05.002 kostenfrei https://doaj.org/article/684d4876658f41d185a617c85f2bdd66 kostenfrei http://www.sciencedirect.com/science/article/pii/S1028455922001450 kostenfrei https://doaj.org/toc/1028-4559 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_2014 GBV_ILN_2068 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 61 2022 4 626-629
allfieldsGer	10.1016/j.tjog.2022.05.002 doi (DE-627)DOAJ043582338 (DE-599)DOAJ684d4876658f41d185a617c85f2bdd66 DE-627 ger DE-627 rakwb eng RG1-991 Ching Hua Hsiao verfasserin aut Retrospective analysis of stillbirth and induced termination of pregnancies: Factors affecting determination 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: The aim of this study was to identify the factors and frequencies of induced termination of pregnancies. Materials and methods: This is a retrospective study of 488 terminations of pregnancies (TOPs) between January 2011 and December 2021 to demonstrate the factors affecting the decision to terminate the pregnancy. All cases had been hospitalized to manage the induction of labor. Methods included serial multiple laminaria dilation of the cervix and administration of a cervical misoprostol suppository. After induction of labor, the subject may experience amniotomy, instrumental evacuation of the uterus, and even hysterotomy. Pre-procedure counseling included an agreement to share medical records (paper-based and electronic). We verified the indications for all patients seeking TOPs. All cases were performed according to known diagnostic classifications and divided into seven groups for analysis. Results: The patient ages ranged from 12 to 46 years. The median maternal age was 34 years [interquartile range (IQR) 30, 37]; 52.2% had at least one prior delivery. The pre-procedure diagnosis was divided into seven groups including the following: chromosomal and genetic abnormalities (146/488, 29.9%), no intrauterine heartbeats (126/488, 25.8%), structural anomalies (84/488, 17.2%), elective termination (56/488, 11.5%), preterm premature rupture of membranes (PPROM) (42/488, 8.6%), cervical incompetence (32/488, 6.6%), and other conditions (2/488, 0.4%). After excluding elective terminations, the eleven-year rate of fetal death and stillbirth to births did not show significant changes from 2011 to 2021. Conclusions: Knowing the factors underlying the decision to induce intrauterine fetal death (IUFD) including reasons for objecting to pregnancy are important for obstetricians—they can offer better planning and medical counseling. It is important to educate all women about family planning to prevent large numbers of unwanted and unsafe pregnancy terminations. Terminations of pregnancies (TOPs) Intrauterine fetal death (IUFD) Cervical incompetence (CI) Congenital chromosomal (CCA) or structural (CSA) abnormalities Preterm premature rupture of membranes (PPROM) Gynecology and obstetrics Ching Hsuan Chen verfasserin aut Yi Fen Chang verfasserin aut Ju Chin Tsauer verfasserin aut Wei Shin Chou verfasserin aut In Taiwanese Journal of Obstetrics & Gynecology Elsevier, 2017 61(2022), 4, Seite 626-629 (DE-627)500021422 (DE-600)2202946-1 10284559 nnns volume:61 year:2022 number:4 pages:626-629 https://doi.org/10.1016/j.tjog.2022.05.002 kostenfrei https://doaj.org/article/684d4876658f41d185a617c85f2bdd66 kostenfrei http://www.sciencedirect.com/science/article/pii/S1028455922001450 kostenfrei https://doaj.org/toc/1028-4559 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_2014 GBV_ILN_2068 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 61 2022 4 626-629
allfieldsSound	10.1016/j.tjog.2022.05.002 doi (DE-627)DOAJ043582338 (DE-599)DOAJ684d4876658f41d185a617c85f2bdd66 DE-627 ger DE-627 rakwb eng RG1-991 Ching Hua Hsiao verfasserin aut Retrospective analysis of stillbirth and induced termination of pregnancies: Factors affecting determination 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: The aim of this study was to identify the factors and frequencies of induced termination of pregnancies. Materials and methods: This is a retrospective study of 488 terminations of pregnancies (TOPs) between January 2011 and December 2021 to demonstrate the factors affecting the decision to terminate the pregnancy. All cases had been hospitalized to manage the induction of labor. Methods included serial multiple laminaria dilation of the cervix and administration of a cervical misoprostol suppository. After induction of labor, the subject may experience amniotomy, instrumental evacuation of the uterus, and even hysterotomy. Pre-procedure counseling included an agreement to share medical records (paper-based and electronic). We verified the indications for all patients seeking TOPs. All cases were performed according to known diagnostic classifications and divided into seven groups for analysis. Results: The patient ages ranged from 12 to 46 years. The median maternal age was 34 years [interquartile range (IQR) 30, 37]; 52.2% had at least one prior delivery. The pre-procedure diagnosis was divided into seven groups including the following: chromosomal and genetic abnormalities (146/488, 29.9%), no intrauterine heartbeats (126/488, 25.8%), structural anomalies (84/488, 17.2%), elective termination (56/488, 11.5%), preterm premature rupture of membranes (PPROM) (42/488, 8.6%), cervical incompetence (32/488, 6.6%), and other conditions (2/488, 0.4%). After excluding elective terminations, the eleven-year rate of fetal death and stillbirth to births did not show significant changes from 2011 to 2021. Conclusions: Knowing the factors underlying the decision to induce intrauterine fetal death (IUFD) including reasons for objecting to pregnancy are important for obstetricians—they can offer better planning and medical counseling. It is important to educate all women about family planning to prevent large numbers of unwanted and unsafe pregnancy terminations. Terminations of pregnancies (TOPs) Intrauterine fetal death (IUFD) Cervical incompetence (CI) Congenital chromosomal (CCA) or structural (CSA) abnormalities Preterm premature rupture of membranes (PPROM) Gynecology and obstetrics Ching Hsuan Chen verfasserin aut Yi Fen Chang verfasserin aut Ju Chin Tsauer verfasserin aut Wei Shin Chou verfasserin aut In Taiwanese Journal of Obstetrics & Gynecology Elsevier, 2017 61(2022), 4, Seite 626-629 (DE-627)500021422 (DE-600)2202946-1 10284559 nnns volume:61 year:2022 number:4 pages:626-629 https://doi.org/10.1016/j.tjog.2022.05.002 kostenfrei https://doaj.org/article/684d4876658f41d185a617c85f2bdd66 kostenfrei http://www.sciencedirect.com/science/article/pii/S1028455922001450 kostenfrei https://doaj.org/toc/1028-4559 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_2014 GBV_ILN_2068 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 61 2022 4 626-629
language	English
source	In Taiwanese Journal of Obstetrics & Gynecology 61(2022), 4, Seite 626-629 volume:61 year:2022 number:4 pages:626-629
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topic_facet	Terminations of pregnancies (TOPs) Intrauterine fetal death (IUFD) Cervical incompetence (CI) Congenital chromosomal (CCA) or structural (CSA) abnormalities Preterm premature rupture of membranes (PPROM) Gynecology and obstetrics
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authorswithroles_txt_mv	Ching Hua Hsiao @@aut@@ Ching Hsuan Chen @@aut@@ Yi Fen Chang @@aut@@ Ju Chin Tsauer @@aut@@ Wei Shin Chou @@aut@@
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callnumber-first	R - Medicine
author	Ching Hua Hsiao
spellingShingle	Ching Hua Hsiao misc RG1-991 misc Terminations of pregnancies (TOPs) misc Intrauterine fetal death (IUFD) misc Cervical incompetence (CI) misc Congenital chromosomal (CCA) or structural (CSA) abnormalities misc Preterm premature rupture of membranes (PPROM) misc Gynecology and obstetrics Retrospective analysis of stillbirth and induced termination of pregnancies: Factors affecting determination
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topic_title	RG1-991 Retrospective analysis of stillbirth and induced termination of pregnancies: Factors affecting determination Terminations of pregnancies (TOPs) Intrauterine fetal death (IUFD) Cervical incompetence (CI) Congenital chromosomal (CCA) or structural (CSA) abnormalities Preterm premature rupture of membranes (PPROM)
topic	misc RG1-991 misc Terminations of pregnancies (TOPs) misc Intrauterine fetal death (IUFD) misc Cervical incompetence (CI) misc Congenital chromosomal (CCA) or structural (CSA) abnormalities misc Preterm premature rupture of membranes (PPROM) misc Gynecology and obstetrics
topic_unstemmed	misc RG1-991 misc Terminations of pregnancies (TOPs) misc Intrauterine fetal death (IUFD) misc Cervical incompetence (CI) misc Congenital chromosomal (CCA) or structural (CSA) abnormalities misc Preterm premature rupture of membranes (PPROM) misc Gynecology and obstetrics
topic_browse	misc RG1-991 misc Terminations of pregnancies (TOPs) misc Intrauterine fetal death (IUFD) misc Cervical incompetence (CI) misc Congenital chromosomal (CCA) or structural (CSA) abnormalities misc Preterm premature rupture of membranes (PPROM) misc Gynecology and obstetrics
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title	Retrospective analysis of stillbirth and induced termination of pregnancies: Factors affecting determination
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title_full	Retrospective analysis of stillbirth and induced termination of pregnancies: Factors affecting determination
author_sort	Ching Hua Hsiao
journal	Taiwanese Journal of Obstetrics & Gynecology
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author_browse	Ching Hua Hsiao Ching Hsuan Chen Yi Fen Chang Ju Chin Tsauer Wei Shin Chou
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class	RG1-991
format_se	Elektronische Aufsätze
author-letter	Ching Hua Hsiao
doi_str_mv	10.1016/j.tjog.2022.05.002
author2-role	verfasserin
title_sort	retrospective analysis of stillbirth and induced termination of pregnancies: factors affecting determination
callnumber	RG1-991
title_auth	Retrospective analysis of stillbirth and induced termination of pregnancies: Factors affecting determination
abstract	Objective: The aim of this study was to identify the factors and frequencies of induced termination of pregnancies. Materials and methods: This is a retrospective study of 488 terminations of pregnancies (TOPs) between January 2011 and December 2021 to demonstrate the factors affecting the decision to terminate the pregnancy. All cases had been hospitalized to manage the induction of labor. Methods included serial multiple laminaria dilation of the cervix and administration of a cervical misoprostol suppository. After induction of labor, the subject may experience amniotomy, instrumental evacuation of the uterus, and even hysterotomy. Pre-procedure counseling included an agreement to share medical records (paper-based and electronic). We verified the indications for all patients seeking TOPs. All cases were performed according to known diagnostic classifications and divided into seven groups for analysis. Results: The patient ages ranged from 12 to 46 years. The median maternal age was 34 years [interquartile range (IQR) 30, 37]; 52.2% had at least one prior delivery. The pre-procedure diagnosis was divided into seven groups including the following: chromosomal and genetic abnormalities (146/488, 29.9%), no intrauterine heartbeats (126/488, 25.8%), structural anomalies (84/488, 17.2%), elective termination (56/488, 11.5%), preterm premature rupture of membranes (PPROM) (42/488, 8.6%), cervical incompetence (32/488, 6.6%), and other conditions (2/488, 0.4%). After excluding elective terminations, the eleven-year rate of fetal death and stillbirth to births did not show significant changes from 2011 to 2021. Conclusions: Knowing the factors underlying the decision to induce intrauterine fetal death (IUFD) including reasons for objecting to pregnancy are important for obstetricians—they can offer better planning and medical counseling. It is important to educate all women about family planning to prevent large numbers of unwanted and unsafe pregnancy terminations.
abstractGer	Objective: The aim of this study was to identify the factors and frequencies of induced termination of pregnancies. Materials and methods: This is a retrospective study of 488 terminations of pregnancies (TOPs) between January 2011 and December 2021 to demonstrate the factors affecting the decision to terminate the pregnancy. All cases had been hospitalized to manage the induction of labor. Methods included serial multiple laminaria dilation of the cervix and administration of a cervical misoprostol suppository. After induction of labor, the subject may experience amniotomy, instrumental evacuation of the uterus, and even hysterotomy. Pre-procedure counseling included an agreement to share medical records (paper-based and electronic). We verified the indications for all patients seeking TOPs. All cases were performed according to known diagnostic classifications and divided into seven groups for analysis. Results: The patient ages ranged from 12 to 46 years. The median maternal age was 34 years [interquartile range (IQR) 30, 37]; 52.2% had at least one prior delivery. The pre-procedure diagnosis was divided into seven groups including the following: chromosomal and genetic abnormalities (146/488, 29.9%), no intrauterine heartbeats (126/488, 25.8%), structural anomalies (84/488, 17.2%), elective termination (56/488, 11.5%), preterm premature rupture of membranes (PPROM) (42/488, 8.6%), cervical incompetence (32/488, 6.6%), and other conditions (2/488, 0.4%). After excluding elective terminations, the eleven-year rate of fetal death and stillbirth to births did not show significant changes from 2011 to 2021. Conclusions: Knowing the factors underlying the decision to induce intrauterine fetal death (IUFD) including reasons for objecting to pregnancy are important for obstetricians—they can offer better planning and medical counseling. It is important to educate all women about family planning to prevent large numbers of unwanted and unsafe pregnancy terminations.
abstract_unstemmed	Objective: The aim of this study was to identify the factors and frequencies of induced termination of pregnancies. Materials and methods: This is a retrospective study of 488 terminations of pregnancies (TOPs) between January 2011 and December 2021 to demonstrate the factors affecting the decision to terminate the pregnancy. All cases had been hospitalized to manage the induction of labor. Methods included serial multiple laminaria dilation of the cervix and administration of a cervical misoprostol suppository. After induction of labor, the subject may experience amniotomy, instrumental evacuation of the uterus, and even hysterotomy. Pre-procedure counseling included an agreement to share medical records (paper-based and electronic). We verified the indications for all patients seeking TOPs. All cases were performed according to known diagnostic classifications and divided into seven groups for analysis. Results: The patient ages ranged from 12 to 46 years. The median maternal age was 34 years [interquartile range (IQR) 30, 37]; 52.2% had at least one prior delivery. The pre-procedure diagnosis was divided into seven groups including the following: chromosomal and genetic abnormalities (146/488, 29.9%), no intrauterine heartbeats (126/488, 25.8%), structural anomalies (84/488, 17.2%), elective termination (56/488, 11.5%), preterm premature rupture of membranes (PPROM) (42/488, 8.6%), cervical incompetence (32/488, 6.6%), and other conditions (2/488, 0.4%). After excluding elective terminations, the eleven-year rate of fetal death and stillbirth to births did not show significant changes from 2011 to 2021. Conclusions: Knowing the factors underlying the decision to induce intrauterine fetal death (IUFD) including reasons for objecting to pregnancy are important for obstetricians—they can offer better planning and medical counseling. It is important to educate all women about family planning to prevent large numbers of unwanted and unsafe pregnancy terminations.
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title_short	Retrospective analysis of stillbirth and induced termination of pregnancies: Factors affecting determination
url	https://doi.org/10.1016/j.tjog.2022.05.002 https://doaj.org/article/684d4876658f41d185a617c85f2bdd66 http://www.sciencedirect.com/science/article/pii/S1028455922001450 https://doaj.org/toc/1028-4559
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author2	Ching Hsuan Chen Yi Fen Chang Ju Chin Tsauer Wei Shin Chou
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