| Conjoined twins and legal authorization for abortion. | |
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MedLine Citation:
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PMID: 21537709 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To describe pregnancies with conjoined twins according to the request for legal termination of pregnancy. METHODS: Retrospective review of pregnancies with conjoined twins, with no possibility of extrauterine survival or postnatal surgical separation, observed at a tertiary teaching hospital, between 1998 and 2010. RESULTS: Amongst 30 cases seen during the study period, six (20.0%) couples decided to continue with the pregnancy, termination of pregnancy was not requested due to advanced gestational age (> 25 weeks) in 5 cases (16.7%). Legal authorization to terminate the pregnancy was requested in 19 (63.3%) cases: permission was granted in 12 (63.2%), denied in five (26.3%) and information was missing in two (10.5%) cases. A successful vaginal delivery was performed in 83.3% of the cases undergoing termination of pregnancy and a cesarean section was performed in all the remaining cases (p < 0.01). CONCLUSION: In pregnancies with conjoined twins and without fetal prognosis, legal termination of the pregnancy is an alternative. Moreover, a successful vaginal delivery can be performed in most cases before the third trimester, further reducing maternal risks and parental suffering. |
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Authors:
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Roseli Mieko Yamamoto Nomura; Maria de Lourdes Brizot; Adolfo Wenjaw Liao; Wagner Rodrigues Hernandez; Marcelo Zugaib |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Revista da Associação Médica Brasileira (1992) Volume: 57 ISSN: 0104-4230 ISO Abbreviation: Rev Assoc Med Bras Publication Date: 2011 Mar-Apr |
Date Detail:
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Created Date: 2011-05-03 Completed Date: 2012-01-26 Revised Date: 2012-04-11 |
Medline Journal Info:
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Nlm Unique ID: 9308586 Medline TA: Rev Assoc Med Bras Country: Brazil |
Other Details:
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Languages: eng; por Pagination: 205-10 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology of Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil. roseli.nomura@hotmail.com |
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Legal
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legislation & jurisprudence*,
utilization Abortion, Therapeutic / legislation & jurisprudence, utilization Adult Delivery, Obstetric / methods* Female Humans Pregnancy Pregnancy Complications Retrospective Studies Twins, Conjoined* Ultrasonography, Prenatal |
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