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Disposal arrangements for fetuses lost in the second trimester
G Batcup1, J P Clarke, D W Purdie
1Pathology Department, General Infirmary, Leeds.
Summary
Most UK and Irish hospitals incinerated fetuses lost in the second trimester, with some offering burial, cremation, and bereavement support services for parents.
Area of Science:
- Perinatal Medicine
- Pathology
- Bioethics
Background:
- Second-trimester fetal loss (12-28 weeks gestation) presents unique challenges for healthcare providers and parents.
- Understanding current practices in fetal tissue disposal is crucial for ethical and compassionate care.
Purpose of the Study:
- To survey current methods for the disposal of second-trimester fetuses in the UK and Irish Republic.
- To identify facilities and support services available to parents experiencing fetal loss.
Main Methods:
- A survey was conducted in 1986 among 28 consultant pathologists with pediatric or perinatal expertise.
- Data collected focused on fetal disposal methods and parental support facilities in hospitals.
Main Results:
- Over half of surveyed hospitals did not have a single disposal method; incineration was most common.
- Six hospitals exclusively used burial or cremation.
- Support services included photography (25 hospitals), religious services (24 hospitals), remembrance books, and bereavement counselors.
Conclusions:
- Practices for second-trimester fetal loss disposal varied significantly across UK and Irish hospitals in 1986.
- A range of supportive facilities were available to parents, though not universally implemented.