Mid-trimester dilation and evacuation with laminaria does not increase the risk for severe subsequent pregnancy complications

J. E. Jackson, W. A. Grobman, E. Haney, H. Casele*

*Corresponding author for this work

Research output: Contribution to journalArticle

30 Scopus citations

Abstract

Objective: To evaluate subsequent pregnancy outcomes in women with a previous mid-trimester (12-24 weeks) pregnancy termination by dilation and evacuation (D&E) as compared to women without a previous D&E. Method: Medical records for women who underwent a D&E between 1995 and 2003 were identified and reviewed. Women with subsequent pregnancies were compared on a 1:2 basis with women in a control group who had viable pregnancies and no previous mid-trimester DE. Outcomes of interest included preterm labor, placental abnormalities, and a composite complication outcome. Results: Of the 317 women who underwent a D&E, 85 had viable subsequent pregnancies. These women delivered slightly earlier than the 170 controls (38.9 versus 39.5 weeks, p = 0.001), although there was no statistically significant difference between the two groups with regard to birth weights, spontaneous preterm delivery, abnormal placentation, and overall complication rate. Conclusions: Mid-trimester termination by D&E does not increase the rate of clinically significant subsequent pregnancy complications.

Original languageEnglish (US)
Pages (from-to)12-15
Number of pages4
JournalInternational Journal of Gynecology and Obstetrics
Volume96
Issue number1
DOIs
StatePublished - Jan 2007

Keywords

  • Abortion
  • Dilation and evacuation
  • Mid-trimester termination

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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