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Maternal risks and predictor factors for the termination of pregnancy in fetuses with severe congenital anomaly: experience from a single reference center in Brazil
- Source :
- The Journal of Maternal-Fetal & Neonatal Medicine. 29:3762-3767
- Publication Year :
- 2016
- Publisher :
- Informa UK Limited, 2016.
-
Abstract
- To assess the maternal complications in pregnant women with fetuses with several congenital anomaly as well as the predictor variables for the termination of pregnancy.We performed a retrospective cohort study with 94 medical records of pregnant women with fetal infeasibility confirmed in the postnatal period by clinical, radiological or anatomopathological exams. To compare the categorical variables regarding the termination and nontermination of pregnancy, we used analysis of variance (ANOVA) and the Mann-Whitney U-test. To assess the variables that were more associated with the judicial request for the termination of pregnancy, we used logistic regression.The termination of pregnancy was performed in 41 (43.6%) and nontermination of pregnancy in 53 (56.4%) pregnant women. Pregnant women who did not terminate the pregnancy had more complications in the gestational period (p 0.0001) and in the postpartum period (p = 0.0088). After multiple logistic regressions, the following variables influenced the decision to terminate the pregnancy: type of congenital anomaly (OR: 18.59; 95%CI: 1.96; 175.87) and living children (OR: 0.45; 95%CI: 0.25; 0.80).Most of the pregnant women with fetal infeasibility opted for nontermination of pregnancy and these patients had more obstetrical complications. The type of congenital anomaly and living children were the factors most associated with the choice for the termination of pregnancy.
- Subjects :
- Adult
Risk
medicine.medical_specialty
Logistic regression
Choice Behavior
Statistics, Nonparametric
Congenital Abnormalities
Nuclear Family
Young Adult
03 medical and health sciences
0302 clinical medicine
Pregnancy
Humans
Medicine
030212 general & internal medicine
Young adult
Retrospective Studies
Analysis of Variance
Fetus
030219 obstetrics & reproductive medicine
business.industry
Obstetrics
Medical record
Obstetrics and Gynecology
Retrospective cohort study
medicine.disease
Pregnancy Complications
Pediatrics, Perinatology and Child Health
Female
Analysis of variance
business
Abortion, Eugenic
Brazil
Postpartum period
Subjects
Details
- ISSN :
- 14764954 and 14767058
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- The Journal of Maternal-Fetal & Neonatal Medicine
- Accession number :
- edsair.doi.dedup.....56b91c5568c7abb99e08132838c05aed