[termination Of Pregnancy Without Feticide: A French National Survey].


[termination Of Pregnancy Without Feticide: A French National Survey].


Chappé H; Bétrémieux P; Morel V; Huillery ML; Le Bouar G


DOI: 10.1016/j.jgyn.2015.06.024


Journal De Gynécologie Obstétrique Et Biologie De La Reproduction




Img Sans Fœticide; Palliative Care; Soins Palliatifs; Termination Of Pregnancy Without Feticide


Termination of pregnancy without feticide (TOPWF) is poorly known in France and far less practiced than palliative care after term birth of a child having a lethal pathology. Few teams consider it and its practice remains confidential. This survey tries to describe it.
A national survey was realized in 2014 using a questionnaire sent to 50 centers of prenatal diagnosis depending on a perinatal diagnosis center in France.
Thirty-one centers answered the questionnaire. Seven teams shared their experience of TOPWF after 22-24 weeks gestation (WG). This practice concerned fetuses affected by "lethal" pathologies. The absence of feticide followed a parental request or a proposal of the medical team, after individual discussion in a multidisciplinary meeting. All the children born alive after TOPWF benefited of palliative care. The 24 other centers having answered our investigation performed systematically the feticide beyond 22-24 WG. They so wished "to protect" the fetus, the parents and the nursing team. A majority of these teams faced parental demands of abstention of feticide but few of them answered it favorably.
A robust "palliative culture" seems essential to allow the nursing team to consider the development of TOPWF.


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Chappé H; Bétrémieux P; Morel V; Huillery ML; Le Bouar G, “[termination Of Pregnancy Without Feticide: A French National Survey].,” Pediatric Palliative Care Library, accessed March 29, 2023, https://pedpalascnetlibrary.omeka.net/items/show/10531.

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