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1994-08-27
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Document 0746
DOCN M9480746
TI [Reflections on 10 years of medically induced abortions in
Ille-et-Vilaine]
DT 9410
AU Schneider S; Roussey M; Odent S; Debroise C; Poulain P; Jouan H; Milon
J; Betremieux P; Journel H; Le Mee F; et al; Service de
Pediatrie-Genetique Medicale, CHU Pontchaillou,; Rennes.
SO J Gynecol Obstet Biol Reprod (Paris). 1994;23(2):157-65. Unique
Identifier : AIDSLINE MED/94315248
AB The medical files of 532 patients who underwent medically induced
abortion over a 10-year period (1982-1991) in the French department of
Ille-et-Vilaine were studied in order to evaluate the indications and
outcomes. Among the patients, 358 resided in the department (67%).
Comparatively with the number of births during the 10-year period, there
was a relative increase in the number of medically induced abortions
from 3.5/1000 to 5.5/1000. This parameter was taken into consideration
for the interpretation of a parallel decrease in the perinatal mortality
during the same period, from 5.9/1000 to 5.1/1000. There was a maternal
indication in 91 cases which correspond to the former category of
therapeutic induced abortions. There was a clear increase in 1991
corresponding to abortions induced because of extremely premature
rupture of the membranes which were formerly allowed to continue to dead
births. Foetal indications were frequent: 441 cases (83%). Exogenous
causes were lower (15.6%), particularly due to the disappearance of
indications resulting from maternal irradiation. For indications related
to infection, the vaccination against rubella and improved prenatal
diagnosis resulted in the disappearance of rubella as an indication
during the last three years of the study and a clear decrease in the
number of toxoplasmosis indications. There were few indications due to
maternal infection by human immunodeficiency virus (4 cases).
Chromosomal abnormalities were the main cause of medically induced
abortion among the foetal indications (27.7%).(ABSTRACT TRUNCATED AT 250
WORDS)
DE Abnormalities/DIAGNOSIS/EPIDEMIOLOGY/PREVENTION & CONTROL *Abortion,
Induced/METHODS/STATISTICS & NUMER DATA/TRENDS Adolescence Adult
Birth Rate Chromosome Abnormalities/DIAGNOSIS/EPIDEMIOLOGY/PREVENTION &
CONTROL English Abstract Female Fetal Membranes, Premature
Rupture/EPIDEMIOLOGY France/EPIDEMIOLOGY Hereditary
Diseases/DIAGNOSIS/EPIDEMIOLOGY/PREVENTION & CONTROL Human Mass
Screening Maternal Age 35 and over Middle Age Pregnancy Pregnancy
Complications/DIAGNOSIS/EPIDEMIOLOGY Residence Characteristics
Retrospective Studies Treatment Outcome JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).