Prenatal management of anencephaly
Abstract About a third of anencephalic fetuses are born alive, but they are not conscious or viable, and soon die. This neural tube defect can be limited by dietary consumption of foliates, and detected prenatally by ultrasound and other means. Many laws permit abortion, on this indication or on the...
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Veröffentlicht in: | International journal of gynecology and obstetrics 2008-09, Vol.102 (3), p.304-308 |
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creator | Cook, Rebecca J Erdman, Joanna N Hevia, Martin Dickens, Bernard M |
description | Abstract About a third of anencephalic fetuses are born alive, but they are not conscious or viable, and soon die. This neural tube defect can be limited by dietary consumption of foliates, and detected prenatally by ultrasound and other means. Many laws permit abortion, on this indication or on the effects of pregnancy and prospects of delivery on a woman's physical or mental health. However, abortion is limited under some legal systems, particularly in South America. To avoid criminal liability, physicians will not terminate pregnancies, by induced birth or abortion, without prior judicial approval. Argentinian courts have developed means to resolve these cases, but responses of Brazilian courts are less clear. Ethical concerns relate to late-term abortion, meaning after the point of fetal viability, but since anencephalic fetuses are nonviable, many ethical concerns are overcome. Professional guidance is provided by several professional and institutional codes on management of anencephalic pregnancies. |
doi_str_mv | 10.1016/j.ijgo.2008.05.002 |
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This neural tube defect can be limited by dietary consumption of foliates, and detected prenatally by ultrasound and other means. Many laws permit abortion, on this indication or on the effects of pregnancy and prospects of delivery on a woman's physical or mental health. However, abortion is limited under some legal systems, particularly in South America. To avoid criminal liability, physicians will not terminate pregnancies, by induced birth or abortion, without prior judicial approval. Argentinian courts have developed means to resolve these cases, but responses of Brazilian courts are less clear. Ethical concerns relate to late-term abortion, meaning after the point of fetal viability, but since anencephalic fetuses are nonviable, many ethical concerns are overcome. Professional guidance is provided by several professional and institutional codes on management of anencephalic pregnancies.</description><identifier>ISSN: 0020-7292</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1016/j.ijgo.2008.05.002</identifier><identifier>PMID: 18603246</identifier><identifier>CODEN: IJGOAL</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Abortion ; Abortion, Induced - ethics ; Anencephaly ; Anencephaly - diagnosis ; Anencephaly - prevention & control ; Biological and medical sciences ; Birth control ; Female ; Fetal Viability ; Gynecology. Andrology. Obstetrics ; Humans ; Induced abortion. Therapeutic abortion ; Induced birth ; Late-term abortion ; Lawful abortion ; Malformations of the nervous system ; Maternal health ; Medical sciences ; Neurology ; Obstetrics and Gynecology ; Pregnancy ; Prenatal Diagnosis - ethics ; Termination of pregnancy</subject><ispartof>International journal of gynecology and obstetrics, 2008-09, Vol.102 (3), p.304-308</ispartof><rights>International Federation of Gynecology and Obstetrics</rights><rights>2008 International Federation of Gynecology and Obstetrics</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4874-e1fe8ca33f6f396ce6c6246a3f1c1c26aa0ce3c0774175bb41f42685f9b1e2eb3</citedby><cites>FETCH-LOGICAL-c4874-e1fe8ca33f6f396ce6c6246a3f1c1c26aa0ce3c0774175bb41f42685f9b1e2eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1016%2Fj.ijgo.2008.05.002$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1016%2Fj.ijgo.2008.05.002$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20663588$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18603246$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cook, Rebecca J</creatorcontrib><creatorcontrib>Erdman, Joanna N</creatorcontrib><creatorcontrib>Hevia, Martin</creatorcontrib><creatorcontrib>Dickens, Bernard M</creatorcontrib><title>Prenatal management of anencephaly</title><title>International journal of gynecology and obstetrics</title><addtitle>Int J Gynaecol Obstet</addtitle><description>Abstract About a third of anencephalic fetuses are born alive, but they are not conscious or viable, and soon die. This neural tube defect can be limited by dietary consumption of foliates, and detected prenatally by ultrasound and other means. Many laws permit abortion, on this indication or on the effects of pregnancy and prospects of delivery on a woman's physical or mental health. However, abortion is limited under some legal systems, particularly in South America. To avoid criminal liability, physicians will not terminate pregnancies, by induced birth or abortion, without prior judicial approval. Argentinian courts have developed means to resolve these cases, but responses of Brazilian courts are less clear. Ethical concerns relate to late-term abortion, meaning after the point of fetal viability, but since anencephalic fetuses are nonviable, many ethical concerns are overcome. Professional guidance is provided by several professional and institutional codes on management of anencephalic pregnancies.</description><subject>Abortion</subject><subject>Abortion, Induced - ethics</subject><subject>Anencephaly</subject><subject>Anencephaly - diagnosis</subject><subject>Anencephaly - prevention & control</subject><subject>Biological and medical sciences</subject><subject>Birth control</subject><subject>Female</subject><subject>Fetal Viability</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Induced abortion. Therapeutic abortion</subject><subject>Induced birth</subject><subject>Late-term abortion</subject><subject>Lawful abortion</subject><subject>Malformations of the nervous system</subject><subject>Maternal health</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Obstetrics and Gynecology</subject><subject>Pregnancy</subject><subject>Prenatal Diagnosis - ethics</subject><subject>Termination of pregnancy</subject><issn>0020-7292</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU2LFDEQhoMo7rj6BzzIIOit26oknaRBBFl0XVlYQT2HdKaypu2P2WRGmX9vmhkUPIinhPC8VZWnGHuKUCOgetXXsb-daw5gamhqAH6PrdDothJSt_fZqrxApXnLz9ijnHsAQI34kJ2hUSC4VCv2_FOiye3csB7d5G5ppGm3nsPaTTR52n5zw-ExexDckOnJ6TxnX9-_-3Lxobq-uby6eHtdeWm0rAgDGe-ECCqIVnlSXpUWTgT06LlyDjwJD1pL1E3XSQySK9OEtkPi1Ilz9vJYd5vmuz3lnR1j9jQMZZZ5n61qZaOV1AXkR9CnOedEwW5THF06WAS7mLG9XczYxYyFxhYPJfTsVH3fjbT5EzmpKMCLE-Cyd0NIbvIx_-Y4KCUaYwqnj9zPONDhP1rbq4-XNwJkSb4-JqlY_BEp2ezjonkTE_md3czx3z9481fcD3GKZdbvdKDcz_s0lf1YtJlbsJ-X7S_LB1NuCI34BUH2phc</recordid><startdate>200809</startdate><enddate>200809</enddate><creator>Cook, Rebecca J</creator><creator>Erdman, Joanna N</creator><creator>Hevia, Martin</creator><creator>Dickens, Bernard M</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200809</creationdate><title>Prenatal management of anencephaly</title><author>Cook, Rebecca J ; Erdman, Joanna N ; Hevia, Martin ; Dickens, Bernard M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4874-e1fe8ca33f6f396ce6c6246a3f1c1c26aa0ce3c0774175bb41f42685f9b1e2eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Abortion</topic><topic>Abortion, Induced - ethics</topic><topic>Anencephaly</topic><topic>Anencephaly - diagnosis</topic><topic>Anencephaly - prevention & control</topic><topic>Biological and medical sciences</topic><topic>Birth control</topic><topic>Female</topic><topic>Fetal Viability</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Induced abortion. Therapeutic abortion</topic><topic>Induced birth</topic><topic>Late-term abortion</topic><topic>Lawful abortion</topic><topic>Malformations of the nervous system</topic><topic>Maternal health</topic><topic>Medical sciences</topic><topic>Neurology</topic><topic>Obstetrics and Gynecology</topic><topic>Pregnancy</topic><topic>Prenatal Diagnosis - ethics</topic><topic>Termination of pregnancy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cook, Rebecca J</creatorcontrib><creatorcontrib>Erdman, Joanna N</creatorcontrib><creatorcontrib>Hevia, Martin</creatorcontrib><creatorcontrib>Dickens, Bernard M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cook, Rebecca J</au><au>Erdman, Joanna N</au><au>Hevia, Martin</au><au>Dickens, Bernard M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prenatal management of anencephaly</atitle><jtitle>International journal of gynecology and obstetrics</jtitle><addtitle>Int J Gynaecol Obstet</addtitle><date>2008-09</date><risdate>2008</risdate><volume>102</volume><issue>3</issue><spage>304</spage><epage>308</epage><pages>304-308</pages><issn>0020-7292</issn><eissn>1879-3479</eissn><coden>IJGOAL</coden><abstract>Abstract About a third of anencephalic fetuses are born alive, but they are not conscious or viable, and soon die. This neural tube defect can be limited by dietary consumption of foliates, and detected prenatally by ultrasound and other means. Many laws permit abortion, on this indication or on the effects of pregnancy and prospects of delivery on a woman's physical or mental health. However, abortion is limited under some legal systems, particularly in South America. To avoid criminal liability, physicians will not terminate pregnancies, by induced birth or abortion, without prior judicial approval. Argentinian courts have developed means to resolve these cases, but responses of Brazilian courts are less clear. Ethical concerns relate to late-term abortion, meaning after the point of fetal viability, but since anencephalic fetuses are nonviable, many ethical concerns are overcome. Professional guidance is provided by several professional and institutional codes on management of anencephalic pregnancies.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>18603246</pmid><doi>10.1016/j.ijgo.2008.05.002</doi><tpages>5</tpages></addata></record> |
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subjects | Abortion Abortion, Induced - ethics Anencephaly Anencephaly - diagnosis Anencephaly - prevention & control Biological and medical sciences Birth control Female Fetal Viability Gynecology. Andrology. Obstetrics Humans Induced abortion. Therapeutic abortion Induced birth Late-term abortion Lawful abortion Malformations of the nervous system Maternal health Medical sciences Neurology Obstetrics and Gynecology Pregnancy Prenatal Diagnosis - ethics Termination of pregnancy |
title | Prenatal management of anencephaly |
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