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Mid‐trimester dilation and evacuation with laminaria does not increase the risk for severe subsequent pregnancy complications
Author(s) -
Jackson J.E.,
Grobman W.A.,
Haney E.,
Casele H.
Publication year - 2007
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2006.08.011
Subject(s) - medicine , pregnancy , obstetrics , complication , placentation , gynecology , fetus , placenta , surgery , genetics , biology
Objective : To evaluate subsequent pregnancy outcomes in women with a previous mid‐trimester (12–24 weeks) pregnancy termination by dilation and evacuation (D&E) as compared to women without a previous D&E. Method : Medical records for women who underwent a D&E between 1995 and 2003 were identified and reviewed. Women with subsequent pregnancies were compared on a 1:2 basis with women in a control group who had viable pregnancies and no previous mid‐trimester DE. Outcomes of interest included preterm labor, placental abnormalities, and a composite complication outcome. Results : Of the 317 women who underwent a D&E, 85 had viable subsequent pregnancies. These women delivered slightly earlier than the 170 controls (38.9 versus 39.5 weeks, p = 0.001), although there was no statistically significant difference between the two groups with regard to birth weights, spontaneous preterm delivery, abnormal placentation, and overall complication rate. Conclusions : Mid‐trimester termination by D&E does not increase the rate of clinically significant subsequent pregnancy complications.