SciELO - Scientific Electronic Library Online

 
vol.57 número2Perfil e evolução dos pacientes com diabetesmellitus submetidos à cirurgia de revascularização miocárdica em serviço de referência no sul do BrasilFadiga relacionada ao câncer: uma revisão índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

Compartilhar


Revista da Associação Médica Brasileira

versão impressa ISSN 0104-4230

Resumo

NOMURA, Roseli Mieko Yamamoto et al. Conjoined twins and legal authorization for abortion. Rev. Assoc. Med. Bras. [online]. 2011, vol.57, n.2, pp.205-210. ISSN 0104-4230.  http://dx.doi.org/10.1590/S0104-42302011000200020.

OBJECTIVE: To describe pregnancies with conjoined twins according to the request for legal termination of pregnancy. METHODS: Retrospective review of pregnancies with conjoined twins, with no possibility of extrauterine survival or postnatal surgical separation, observed at a tertiary teaching hospital, between 1998 and 2010. RESULTS: Amongst 30 cases seen during the study period, six (20.0%) couples decided to continue with the pregnancy, termination of pregnancy was not requested due to advanced gestational age (> 25weeks) in 5 cases (16.7%). Legal authorization to terminate the pregnancy was requested in 19 (63.3%) cases: permission was granted in 12 (63.2%), denied in five (26.3%) and information was missing in two (10.5%) cases. A successful vaginal delivery was performed in 83.3% of the cases undergoing termination of pregnancy and a cesarean section was performed in all the remaining cases (p < 0.01). CONCLUSION: In pregnancies with conjoined twins and without fetal prognosis, legal termination of the pregnancy is an alternative. Moreover, a successful vaginal delivery can be performed in most cases before the third trimester, further reducing maternal risks and parental suffering.

Palavras-chave : Twins conjoined; legal abortion; ultrasonography prenatal; pregnancy complications; pregnancy multiple.

        · resumo em Português     · texto em Português | Inglês     · Português ( pdf ) | Inglês ( pdf )

 

Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons