Induction of labor compared to dilation and evacuation for postmortem analysis

ABSTRACT ObjectiveThis study aimed to evaluate the ability to obtain autopsy and cytogenetics after midtrimester termination. MethodsA retrospective cohort study of women undergoing termination, via induction or dilation and evacuation (D&E), at 16 0/7–23 6/7 weeks was performed. Exclusion crite...

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Bibliographic Details
Published in:Prenatal diagnosis 2014-06, Vol.34 (6), p.547-551
Main Authors: Lal, A. K., Kominiarek, M. A., Sprawka, N. M.
Format: Article
Language:English
Subjects:
Aborted Fetus - pathology
Abortion, Induced - adverse effects
Abortion, Induced - methods
Abortion, Induced - statistics & numerical data
Adolescent
Adult
Autopsy
Cytogenetic Analysis
Dilatation and Curettage - adverse effects
Dilatation and Curettage - methods
Dilatation and Curettage - statistics & numerical data
Female
Humans
Labor, Induced - adverse effects
Labor, Induced - methods
Labor, Induced - statistics & numerical data
Middle Aged
Postoperative Complications - epidemiology
Postoperative Complications - pathology
Pregnancy
Retrospective Studies
Young Adult
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Summary:ABSTRACT ObjectiveThis study aimed to evaluate the ability to obtain autopsy and cytogenetics after midtrimester termination. MethodsA retrospective cohort study of women undergoing termination, via induction or dilation and evacuation (D&E), at 16 0/7–23 6/7 weeks was performed. Exclusion criteria were elective termination, preterm labor, PPROM, and no autopsy or cytogenetic exam performed. The ability to obtain cytogenetics and autopsy as well as complications rates were compared between the two groups with Chi‐square tests. ResultsOf the 469 women who met the inclusion criteria, 158 had an induction and 312 had a D&E. The induction of labor group had higher mean gestational ages, p 
ISSN:0197-3851
1097-0223
DOI:10.1002/pd.4346