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

Fisher, Jane, Lohr, Patricia, Lafarge, Caroline ORCID: https://orcid.org/0000-0003-2148-078X and Robson, Stephen (2014) Termination for fetal anomaly: are women in England given a choice of method? Journal of Obstetrics and Gynaecology, 35 (2). pp. 168-172. ISSN 0144-3615

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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 a choice of method, by surveying members of a UK parent support organisation. An online questionnaire was designed to examine respondents’ experience of TFA. A total of 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 that 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
Identifier: 10.3109/01443615.2014.940291
Additional Information: © 2014 Taylor & Francis. This is an Author's Accepted Manuscript of an article published in the Journal of Obstetrics and Gynaecology, Volume 35, Issue 2, available online at: https://doi.org/10.3109/01443615.2014.940291.
Keywords: Antenatal screening, informed choice, prenatal diagnosis, termination for fetal anomaly, women's preferences
Subjects: Psychology
Depositing User: Caroline Lafarge
Date Deposited: 12 Apr 2016 14:05
Last Modified: 28 Aug 2021 07:06
URI: https://repository.uwl.ac.uk/id/eprint/1893


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