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[Voluntary pregnancy termination over the first trimester. A five-year observation]
C Bastianelli1, S Carrara, G D'Andrea
1Dipartimento di Ginecologia e Ostetricia, Università degli Studi di Roma ''La Sapienza'', Roma, Italia. carlo.bastianelli@uniroma1.it.
Minerva Ginecologica
|October 16, 2008
Summary
Italian law permits voluntary pregnancy termination (VPT) up to 120 days for severe fetal anomalies. A study found most late-term VPT requests were due to fetal anomalies, necessitating psychological evaluation.
Area of Science:
- Medical Law
- Obstetrics and Gynecology
- Medical Ethics
Context:
- Italian abortion law permits termination up to 90 days, or up to 120 days for severe fetal anomalies or risks to maternal health.
- An observed increase in voluntary pregnancy termination (VPT) requests beyond 90 days in Italy prompted this study.
Purpose:
- To retrospectively analyze the reasons for voluntary pregnancy termination (VPT) requests submitted after 90 days of gestational age in Italy.
- To investigate the types of fetal anomalies and diagnostic methods used in late-term VPT cases.
Summary:
- A 5-year study (2003-2007) reviewed 255 cases of VPT over 90 days. All cases were authorized due to severe psychological distress stemming from diagnosed fetal anomalies.
- Fetal anomalies were genetic in 43.2% and morphological in 56.8% of cases, identified via genetic testing, ultrasound, or karyotype analysis.
Impact:
- Findings highlight the critical role of fetal anomaly diagnosis in late-term voluntary pregnancy termination decisions.
- The study underscores the need for comprehensive data to understand trends in legal abortion and inform public health strategies.
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