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Future pregnancy not hurt by Midtrimester D&E. (Review of Data at One Institution).

OB GYN News

| April 01, 2002 | Walsh, Nancy | COPYRIGHT 2002 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

NEW ORLEANS -- Midtrimester dilation and evacuation does not increase the risk of future spontaneous abortion or preterm birth, Dr. Robin B. Kalish said in a poster session at the annual meeting of the Society for Maternal-Fetal Medicine.

The commonly held belief that this procedure is associated with subsequent cervical incompetence and adverse pregnancy outcome did not stand up to a review of the records of all patients at one institution who underwent dilation and evacuation (D&E) at 1424 weeks' gestation between May 1996 and May 2000.

A total of 96 subsequent pregnancies were identified in women who had undergone the procedure, said Dr. Kalish of New York Weill Cornell Medical Center, New York.

In 80% (77), the pregnancy resulted in a liveborn infant. By contrast, 63% of all pregnancies in the United States result in a liveborn infant, according to the National Center for Health Statistics.

There were 12 first-trimester spontaneous abortions and one ...

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