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Lookup NU author(s): Professor Steve Robson
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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.
Author(s): Fisher J, Ohr PAL, Afarge CL, Robson SC
Publication type: Article
Publication status: Published
Journal: Journal of Obstetrics & Gynaecology
Print publication date: 01/02/2015
ISSN (print): 0144-3615
ISSN (electronic): 1364-6893
Publisher: Informa Healthcare
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