Publication:

Médical interruption of pregnancy in the 2nd and 3rd trimester of pregnancy: about 42 cases collged ať the Tunis Maternity and Neonatology Center “Service A”

Background Study IMGs in the 2nd or 3rd trimester of pregnancy in department “A” of the CMNT.

Methods Descriptive and analytical cross-sectional study in the “A” obstetrics gynecology department of the CMNT from January to June 2012. The variables studied related to sociodemographic characteristics, diagnosis, management and prognosis. Undiagnosed fetal abnormalities in the 1st trimester, serious maternal pathologies are the inclusion criteria. IMGs for embryofetopathies and MFIUs were not included in the study.

Results The average age was 32 years with an average term of 27 weeks of amenorrhea and 01 day. The indication was 97.6% fetal. Fetal malformations were divided into 54.8% neurological abnormalities, 4.8% renal abnormalities, 4.8% digestive abnormalities, 4.8% bone abnormalities, 2.4% pulmonary abnormalities and 2.4% cardiac abnormalities. The foeto-pathological examination was carried out 64.3% confirming the antenatal diagnosis with an ultrasound sensitivity of 67.6% in the 2nd trimester and 83.3% in the 3rd trimester. The overall expulsion time was 30.6 hours ( 28 SA), an overall success rate at 24 hours of 97.6% with one uterine rupture, 3 uterine retentions and hemorrhage. No cases of maternal death or infection were observed.

Conclusions The delay in the diagnosis of fetal pathologies makes it difficult to decide on abortion for practitioners and parents. Antenatal ultrasound and fetal karyotype represented the means that made it possible to pose or suspect the diagnosis of fetal abnormality.