[Induced abortion--clinical problems, regulatory gaps, chaos. How much longer?].

Area of Science:

• Medical Science
• Clinical Practice
• Obstetrics and Gynecology

Context:

• Increasing frequency of induced abortions in contemporary clinical practice, often for diagnosed fetal malformations.
• Gestational age for termination typically in the late second trimester, necessitating specific clinical protocols.
• Adherence to The Artificial Pregnancy Termination Regulations and N 142 clinical-care pathway for patient management.

Purpose:

• To describe the patient journey from diagnosis through induced abortion to discharge.
• To analyze existing regulations concerning late-term pregnancy termination, highlighting inaccuracies and omissions.
• To stimulate discussion on clinical challenges and propose practical solutions for induced abortion procedures.

Summary:

• The study details the clinical pathway for patients undergoing induced abortion due to fetal malformations diagnosed in late pregnancy.
• It critically examines The Artificial Pregnancy Termination Regulations, identifying significant shortcomings and areas for improvement.
• The presentation offers evidence-based, realistic solutions to address clinical problems encountered during these procedures.

Impact:

• Aims to enhance the management of induced abortions for fetal anomalies, improving patient care.
• Provides a framework for revising clinical protocols and regulatory guidelines for late-term pregnancy terminations.
• Contributes to a more informed and effective approach to complex obstetric decisions and procedures.