Dilation and evacuation for second-trimester genetic pregnancy termination

Lee P. Shulman*, Frank W. Ling, Carole M. Meyers, Douglas R. Shanklin, Joe Leigh Simpson, Sherman Elias

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

32 Scopus citations

Abstract

Dilation and evacuation (D&E) is the most common procedure for second-trimester pregnancy termination currently used by United States obstetrician-gynecologists. Although this method carries morbidity and mortality rates significantly lower than methods requiring labor induction, the procedure most commonly used for second-trimester genetic terminations seems to be labor induction (eg, vaginal prostaglandin suppositories). Many geneticists appear reluctant to recommend D&E over induction methods of pregnancy termination because they perceive that fetal abnormalities cannot be consistently confirmed by evaluation of the products of conception obtained by D&E. We report here 60 consecutive patients who underwent D&E (14–22 weeks’ gestation) after detection of fetal abnormalities. The prenatal diagnoses were confirmed in all cases. Our experience thus indicates that D&E is reliable in confirming most prenatal diagnoses and should be the procedure of choice when second-trimester pregnancy termination is chosen because of fetal abnormalities.

Original languageEnglish (US)
Pages (from-to)1037-1040
Number of pages4
JournalObstetrics and gynecology
Volume75
Issue number6
StatePublished - Jun 1990

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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