Pregnancy is better and better followed medically. Even if l & rsquo; ultrasound is mainly perceived as a Visual appointment with baby, the follow-up of the expectant mother and the fetus is intended to identify risks or potential complications. Unfortunately, in the most serious cases, medical termination of pregnancy (IMG) should be considered. Take stock of this intervention.
The causes of medical termination of pregnancy
From the beginning of pregnancy, the expectant mother and the fetus are medically monitored closely: blood tests, ultrasound, screening tests, regular monitoring urine and blood pressure of the mother as well as growth and fetal heart rate, etc. This surveillance is intended to avoid or treat the majority of pregnancy-related complications. However, certain diseases, complications or risks to the mother and/or the child are so serious that the abortion can be considered.
There are rare situations in which the health of the mother is at stake. An interruption is proposed when his life is in danger and that pregnancy is an obstacle to its treatment:
-A cancer diagnosed, that cannot be supported because of pregnancy.
-A heart or psychiatric pathology serious which would put the life of the mother in danger.
But the vast majority of cases of IMG is motivated by a very significant risk to the fetus of an incurable disease, which can lead to death or to a reduced quality of life very:
-A defect or a serious delay in maturation of one of the vital organs, that could lead to the death of the child.
-Anomalies or chromosomal mutations which endanger his life or quality of life.
-Attacks brain, fetal disease or malformations that can lead to physical deficits or mental health important.
The conduct of the medical termination of pregnancy
Whatever the reason for which an IMG is being considered, there are specific regulations around these exceptional cases. If the mother’s health is at stake, the notice and the diagnosis of two specialists are needed. Regarding an adverse prenatal diagnosis, the choice of prospective parents is valid or not by a commission of multi-disciplinary specialists.
In all cases, the interruption of pregnancy can be performed until the term of pregnancy.
The procedure varies depending on the progress of the pregnancy :
-Before 14 weeks of amenorrhoea (SA): IMG cases are rare, because prenatal diagnoses often arise later, and the reflection of the parents takes some time. Curettage technique is most often proposed, as for voluntary termination of pregnancy (IVG).
-Between 14 and 22 SA: l & rsquo; birth is caused to expel the fetus vaginally.
-After 22 SA: the technique is the same as before the 22nd SA. However, before the start of the contractions, the heart of the fetus is arrested after having anesthetized him.
An important accompaniment
When a medical pregnancy interruption is proposed, some parents prefer to refuse it. However, the majority opt for this solution, despite everything. Giving up a family so close and so imagined life, say farewell to this little being are very difficult acts. To help accept the unacceptable, the professionals provide support and important psychological support of the couple.
Furthermore, since 2008, provisions can be made for the fetus more of 14 SA. It is especially possible to give her a name, mention it in the family register and organize a funeral.
Medical pregnancy interruption last proposed use by prenatal diagnosis centres. At each stage, the couple is accompanied at best by trained specialists.
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