J E Jackson1, W A Grobman, E Haney, H Casele. 1. Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
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.
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.
Authors: Arthur M Baker; Joe M Braun; Carolyn M Salafia; Amy H Herring; Julie Daniels; Nicole Rankins; John M Thorp Journal: Am J Obstet Gynecol Date: 2008-09 Impact factor: 8.661
Authors: Lisa D Levine; Hillary R Bogner; Adi Hirshberg; Michal A Elovitz; Mary D Sammel; Sindhu K Srinivas Journal: Am J Obstet Gynecol Date: 2013-10-30 Impact factor: 8.661