[termination Of Pregnancy Without Feticide: A French National Survey].
Title
[termination Of Pregnancy Without Feticide: A French National Survey].
Creator
Chappé H; Bétrémieux P; Morel V; Huillery ML; Le Bouar G
Identifier
DOI: 10.1016/j.jgyn.2015.06.024
Publisher
Journal De Gynécologie Obstétrique Et Biologie De La Reproduction
Date
2016
Subject
Img Sans Fœticide; Palliative Care; Soins Palliatifs; Termination Of Pregnancy Without Feticide
Description
PURPOSE:
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.
MATERIAL AND METHODS:
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.
RESULTS:
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.
CONCLUSION:
A robust "palliative culture" seems essential to allow the nursing team to consider the development of TOPWF.
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.
MATERIAL AND METHODS:
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.
RESULTS:
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.
CONCLUSION:
A robust "palliative culture" seems essential to allow the nursing team to consider the development of TOPWF.
Rights
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Citation List Month
June 2016 List
Citation
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 May 21, 2025, https://pedpalascnetlibrary.omeka.net/items/show/10531.