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Late termination of pregnancy: a comparison of obstetricians' experience in eight European countries

Habiba, M.; Da Fre, M.; Taylor, D. J.; Arnaud, C.; Bleker, O.; Lingman, Göran LU ; Gomez, M. M.; Gratia, P.; Heyl, W. and Viafora, C. (2009) In BJOG: An International Journal of Obstetrics & Gynaecology2000-01-01+01:00 116(10). p.1340-1349
Abstract
Objective To compare the experience and attitude of obstetricians in Europe towards late termination of pregnancy and the factors affecting their responses. Design Cluster sampling cross-sectional survey. All neonatal intensive care unit (NICU)-associated maternity units were recruited (census sampling) in Luxembourg, the Netherlands and Sweden. In France, Germany, Italy, Spain and the UK, units were selected at random. In every recruited unit, all obstetricians with at least 6 months' experience were invited to participate. Setting NICU-associated maternity units in eight European countries. Population Obstetricians with at least 6 months' clinical experience. Methods An anonymous, self-administered questionnaire was used. Multinomial... (More)
Objective To compare the experience and attitude of obstetricians in Europe towards late termination of pregnancy and the factors affecting their responses. Design Cluster sampling cross-sectional survey. All neonatal intensive care unit (NICU)-associated maternity units were recruited (census sampling) in Luxembourg, the Netherlands and Sweden. In France, Germany, Italy, Spain and the UK, units were selected at random. In every recruited unit, all obstetricians with at least 6 months' experience were invited to participate. Setting NICU-associated maternity units in eight European countries. Population Obstetricians with at least 6 months' clinical experience. Methods An anonymous, self-administered questionnaire was used. Multinomial logistic analysis was used to identify factors predicting the obstetricians' views about modifying the law governing late termination in their country. Main outcome measure Obstetricians' experience of late termination of pregnancy and views about national policies. Results One hundred and five units and 1530 obstetricians participated (response rates 70 and 77% respectively). The most common indications for late termination were congenital anomalies and women's physical health. Feticide was not common except in France, Luxembourg and the UK. Active euthanasia of a liveborn was practiced in France and the Netherlands. Obstetricians in Germany were more likely to feel that late termination should be more severely restricted, the opposite was true in Spain and the Netherlands. In Italy, there was dissatisfaction with current status, but opinion was divided, reflecting views on both sides of the debate. Conclusions This research outlines current practice in a difficult and sensitive area and suggests the need for more discussion and support for all those who were involved. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Late abortion, termination of pregnancy
in
BJOG: An International Journal of Obstetrics & Gynaecology2000-01-01+01:00
volume
116
issue
10
pages
1340 - 1349
publisher
Wiley-Blackwell
external identifiers
  • wos:000268852000008
  • scopus:68849090721
ISSN
1471-0528
DOI
10.1111/j.1471-0528.2009.02228.x
language
English
LU publication?
yes
id
5e6f1165-2413-467d-8674-0849d3753d48 (old id 1478389)
date added to LUP
2009-09-29 10:30:36
date last changed
2017-01-01 05:27:52
@article{5e6f1165-2413-467d-8674-0849d3753d48,
  abstract     = {Objective To compare the experience and attitude of obstetricians in Europe towards late termination of pregnancy and the factors affecting their responses. Design Cluster sampling cross-sectional survey. All neonatal intensive care unit (NICU)-associated maternity units were recruited (census sampling) in Luxembourg, the Netherlands and Sweden. In France, Germany, Italy, Spain and the UK, units were selected at random. In every recruited unit, all obstetricians with at least 6 months' experience were invited to participate. Setting NICU-associated maternity units in eight European countries. Population Obstetricians with at least 6 months' clinical experience. Methods An anonymous, self-administered questionnaire was used. Multinomial logistic analysis was used to identify factors predicting the obstetricians' views about modifying the law governing late termination in their country. Main outcome measure Obstetricians' experience of late termination of pregnancy and views about national policies. Results One hundred and five units and 1530 obstetricians participated (response rates 70 and 77% respectively). The most common indications for late termination were congenital anomalies and women's physical health. Feticide was not common except in France, Luxembourg and the UK. Active euthanasia of a liveborn was practiced in France and the Netherlands. Obstetricians in Germany were more likely to feel that late termination should be more severely restricted, the opposite was true in Spain and the Netherlands. In Italy, there was dissatisfaction with current status, but opinion was divided, reflecting views on both sides of the debate. Conclusions This research outlines current practice in a difficult and sensitive area and suggests the need for more discussion and support for all those who were involved.},
  author       = {Habiba, M. and Da Fre, M. and Taylor, D. J. and Arnaud, C. and Bleker, O. and Lingman, Göran and Gomez, M. M. and Gratia, P. and Heyl, W. and Viafora, C.},
  issn         = {1471-0528},
  keyword      = {Late abortion,termination of pregnancy},
  language     = {eng},
  number       = {10},
  pages        = {1340--1349},
  publisher    = {Wiley-Blackwell},
  series       = {BJOG: An International Journal of Obstetrics & Gynaecology2000-01-01+01:00},
  title        = {Late termination of pregnancy: a comparison of obstetricians' experience in eight European countries},
  url          = {http://dx.doi.org/10.1111/j.1471-0528.2009.02228.x},
  volume       = {116},
  year         = {2009},
}