Document Detail

Conjoined twins and legal authorization for abortion.
MedLine Citation:
PMID:  21537709     Owner:  NLM     Status:  MEDLINE    
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.
Roseli Mieko Yamamoto Nomura; Maria de Lourdes Brizot; Adolfo Wenjaw Liao; Wagner Rodrigues Hernandez; Marcelo Zugaib
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Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2011-05-03     Completed Date:  2012-01-26     Revised Date:  2012-04-11    
Medline Journal Info:
Nlm Unique ID:  9308586     Medline TA:  Rev Assoc Med Bras     Country:  Brazil    
Other Details:
Languages:  eng; por     Pagination:  205-10     Citation Subset:  IM    
Department of Obstetrics and Gynecology of Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
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MeSH Terms
Abortion, Legal / legislation & jurisprudence*,  utilization
Abortion, Therapeutic / legislation & jurisprudence,  utilization
Delivery, Obstetric / methods*
Pregnancy Complications
Retrospective Studies
Twins, Conjoined*
Ultrasonography, Prenatal

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