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Creado el : 10 Feb 2004
Alterado em : 01 Dec 2007

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Ficha bibliográfica (sin autores) :

Get Autopsy After Abortion for Fetal Anomaly. Ob.Gyn News 2004;39(2):12.

Autores :

Mahoney D.

Año de publicación :

2004

URL(s) :

http://www2.eobgynnews.com/scripts/om.dll/serve?ac…

Résumé (français)  :

Abstract (English)  :

Postabortion autopsies can provide important risk-recurrence information to parents when pregnancy is terminated because of a prenatal diagnosis of a fetal anomaly, according to a 10-year retrospective study, said Dr. Patricia A. Boyd of the Institute of Health Sciences, Oxford, England, and her associates.

Based on information gathered from the Oxford Congenital Anomaly Register and the Oxford Maternity Data System, there were 309 terminations after fetal anomaly diagnosis in 57,258 deliveries from 1991 through 2000. Of the terminations, autopsies were conducted in 132 cases in which the anomalies were identified by ultrasound with no evidence for abnormal karyotype (BMJ [online], 2003; http://bmj.bmjjournals.com/cgi/reprint/bmj.37939.570104.EEv1).

In 35 of the 132 cases, the autopsy added information that led to a reduction in risk-recurrence estimates in 17 cases and an increase in 18 cases. In 11 of these 18 cases, the risk of recurrence estimate rose to a one in four chance, the investigators said.

In 95 of the cases in which autopsy was conducted, the autopsy confirmed the suspected prenatal diagnosis and did not add important further information. Two cases were not classified. The results provide important information for parents and health care providers. “If a termination has been carried out because of anomalies detected by ultrasound scan, by declining an autopsy, parents will remain ignorant of information that might change the recurrence risk in 1 in 4 cases and have a 1 in 13 chance for missing confirmation of a high [1 in 4] recurrence risk,” the investigators said.

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Palabras claves :

➡ cribado ; desarrollo fetal

Autor de este registro :

Cécile Loup — 10 Feb 2004