期刊
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY
卷 79, 期 -, 页码 81-94出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.bpobgyn.2021.11.001
关键词
Labour induced; Abortion induced; Mifepristone; Prostaglandins; Stillbirth; Fetal death
Induction of labour when no live birth is anticipated presents unique considerations, and there is a lack of dedicated guidelines for Induction of Labour for Termination of Pregnancy (iTOP).
Induction of labour when no live birth is anticipated presents a number of unique considerations for members of the healthcare team. The main indication for Induction of Labour for Termination of Pregnancy (iTOP) is intrauterine fetal death (IUFD) beyond a gestational age where surgical management is available, but may also be indicated in the setting of induction abortion (with or without feticide), and termination of pregnancy (with or without infant palliation) for pregnancies where a lethal fetal anomaly is diagnosed. In tertiary care centres, iTOP may represent a significant proportion of labouring patients. Despite this, there are few guidelines dedicated specifically to iTOP in either obstetrical or family planning specialties. In this article, we will consider four main themes from an evidence-informed perspective: method selection; pre-induction preparation; clinical considerations during and after iTOP; and complications management. (C) 2022 Elsevier Ltd. All rights reserved.
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