Termination for fetal anomaly – are women in England given a choice of method?

Fisher, Jane, Lohr, Patricia, Lafarge, Caroline and Robson, Stephen (2014) Termination for fetal anomaly – are women in England given a choice of method? Journal of Obstetrics and Gynaecology, 24. pp. 1-5.

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Abstract

Choice of a medical or surgical method of termination for fetal anomaly (TFA) is advocated in national guidelines based on a similar risk profile. We investigated whether women are offered choice of method by surveying members of a UK parent support organisation.

An online questionnaire was designed to examine respondents’ experience of TFA. 351 responses were included in the final analysis. TFAs after 24 weeks gestation and selective reductions were excluded.
Mean gestational age at TFA was 17 weeks. 14% (n=50) were offered a choice of method, falling to 8% (n=19) after 14 weeks gestation. Overall, 78% (n=275) underwent medical TFA with 88% stating they chose it because it was the only method offered. 60% (n=30) of those offered a choice had a surgical TFA.

Our survey suggests women having TFA are not offered a choice of method. Service delivery should be improved to meet national guidance and women’s needs.

Item Type: Article
Subjects: Psychology
Depositing User: Caroline Lafarge
Date Deposited: 12 Apr 2016 14:05
Last Modified: 25 Apr 2016 09:43
URI: http://repository.uwl.ac.uk/id/eprint/1893

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