Zeeman G G, Verhagen A A E, Lind J, van de Vathorst S, Wildschut H I J, Wolf H
Afd. Obstetrie en Gynaecologie, Universitair Medisch Centrum Groningen, Postbus 30.001, 9700 RB Groningen.
Ned Tijdschr Geneeskd. 2008 Nov 29;152(48):2632-5.
To provide an inventory of the reported late terminations of pregnancy because ofa severe anomaly of the unborn child, i.e. termination after 24 weeks of pregnancy, in The Netherlands for the period 2004-2007.
Inventory and descriptive.
A description is given of the various assessment procedures for the termination of pregnancy after 24 weeks. A distinction is made between abortion for lethal foetal abnormalities (category 1) and severe functional impairments with a limited chance for survival of the unborn (category 2). The level of caution exercised in decision making and performing category 1 terminations is assessed by the professional group, namely by the assessment committee for Late Pregnancy Termination of the Dutch Association for Gynaecology and Obstetrics. Since 15 March 2007, late pregnancy terminations that fall under category 2 have by law been assessed by a national central committee of experts. An overview of the reported cases of late terminations of pregnancy in the Netherlands for the period 2004-2007 is given.
The number of reported terminations of pregnancy after 24 weeks (n = 72) has declined considerably since the early 1990s. A possible explanation is that due to increasing technological improvements and the implementation of prenatal screening in early preg-nancy, an abortion can be performed before the 24th week of pregnancy if any severe abnormalities are observed.
提供一份关于荷兰2004 - 2007年期间因胎儿严重异常（即妊娠24周后终止妊娠）而报告的晚期终止妊娠情况的清单。
清单编制与描述性研究。
描述了妊娠24周后终止妊娠的各种评估程序。区分了因致命胎儿异常而进行的堕胎（第1类）和胎儿严重功能障碍且出生后存活机会有限的情况（第2类）。决策和实施第1类终止妊娠时所采取的谨慎程度由专业团体评估，即荷兰妇产科学会晚期妊娠终止评估委员会。自2007年3月15日起，第2类晚期妊娠终止依法由一个国家中央专家委员会进行评估。给出了荷兰2004 - 2007年期间报告的晚期终止妊娠病例概述。
自20世纪90年代初以来，报告的妊娠24周后终止妊娠的数量（n = 72）大幅下降。一个可能的解释是，由于技术进步以及早期妊娠产前筛查的实施，如果观察到任何严重异常情况，可以在妊娠24周前进行堕胎。
