DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20221960

Induced labour in pregnancy with congenital abnormalities: clinical indications or patient demand

Adhi Pribadi

Abstract


Congenital abnormalities are a nightmare for a pregnant woman. However, congenital abnormalities are divided into several conditions. The state of major disability is the worst situation, with the possibility of disability and even postpartum death. The disability is still a pregnancy that can cause complications that have a bad effect on the mother, so the pregnancy is often induced labor for fear of endangering the mother even though the complications have not yet appeared. In addition, it often happens because the family refuses the presence of a child with a disability. Criteria and references for intrauterine anomalies have been made by various countries and organizations, with the treatment taking into account clinical, psychosocial, religious, and legal aspects. However, this reference is not always easy to implement due to various factors, so that the decision to induced labor or induced abortion is always based on the advice of the medical team and family approval without leaving the legal aspect. Parental consent is important because not all pregnant women agree to induced labor of pregnancy even though it is a major disability and threatens postpartum death. On the other hand, if the defect can be corrected, then a clinician must be able to maintain the pregnancy and refuse unnecessary attempts to terminate the pregnancy.


Keywords


Congenital abnormalities, Induced labour, Parental consent

Full Text:

PDF

References


Samadirad B, Khamnian Z, Hosseini MB, Dastgiri S. Congenital Anomalies and Induced labour of Pregnancy in Iran. J Pregnancy. 2012;574513.

Royal College of Obstetricians and Gynaecologists. Induced labour of Pregnancy for Fetal Abnormality in England, Scotland and Wales. 2010. Available at: https://www.rcog.org.uk/guidance/browse-all-guidance/other-guidelines-and-reports/termination-of-pregnancy-for-fetal-abnormality-in-england-scotland-and-wales/. Accessed on 12 March 2022.

World Health Organization (WHO). Birth Defect. 2022. Available at: https://www.who.int/news-room/fact-sheets/detail/birth-defects. Accessed on 12 March 2022.

Gesser-Edelsburg A, Shahbari NAE. Decision-making on terminating pregnancy for Muslim Arab women pregnant with fetuses with congenital anomalies: maternal affect and doctor-patient communication. Reprod Health. 2017;14:49.

Al-Matary A, Ali J. Controversies and considerations regarding the induced labour of pregnancy for Foetal Anomalies in Islam. BMC Med Ethics. 2014;15:10.

de Crespigny LJ, Savulescu J. Pregnant women with fetal abnormalities: the forgotten people in the abortion debate. Med J Aust. 2008;188 (2):100-3.

Bartlett LA, Berg CJ, Shulman HB, Zane SB, Green CA, Whitehead S, Atrash HK. Risk factors for legal induced abortion-related mortality in the United States. Obstet Gynecol. 2004;103(4):729-37.

Albar MA. Induced abortion from an islamic perspective: is it criminal or just elective? J Family Community Med. 2001;8(3):25-35.

Shapiro GK. Abortion law in Muslim-majority countries: an overview of the Islamic discourse with policy implications. Health Policy and Planning. 2014;29(4):483-94.

Davis EP, Narayan AJ. Pregnancy as a period of risk, adaptation, and resilience for mothers and infants. Dev Psychopathol. 2020;32(5):1625-39.

The Indonesian Maternalfetal Medicine Association. Obstetric Case Management Guideline. HKFM Indonesia. 2010. Available at: https://www.isuog. org/clinical-resources/isuog-guidelines/translations/ indonesian.html. Accessed on 12 March 2022.

Royal College of Obstetricians and Gynaecologists. Induced labour on pregnancy for fetal abnormality. 2010. Available at: https://www.rcog.org.uk/media/ 21lfvl0e/induced labourpregnancyreport18may 2010.pdf. Accessed on 12 March 2022.

Bakker MK, Bergman JEH, Krikov S, Amar E, Cocchi G, Cragan J, et al. Prenatal diagnosis and prevalence of critical congenital heart defects: an international retrospective cohort study. BMJ Open. 2019;9(7):e028139.

Khairy M, Sherif S, Ali Y, Ahmed A, Ahmed A. Ultrasonographic soft markers of aneuploidy in second trimester fetuses. Middle East Fertility Society J. 2012;17:145-51.

Thummalakunta P, Panditi S. Approach to Screening for Aneuploidy in First Trimester. J Fetal Med. 2014;1:175-9.

Liu, L, Zhou, P, Cao, Z, Tan, X. Middle pregnancy ultrasound screening for fetal chromosomal diseases. Mol Med Rep. 2017;16:7641-8.

Vashitz G, Davidovitch N, Pliskin JS. Second medical opinions. Harefuah. 2011;150(2):105-10.

Kose1 S, Altunyurt A, Yıldırım N, Keskinoğlu P, Çankaya T, Bora E, et al. Induced labour of pregnancy for fetal abnormalities: main argumentsand a decision-tree model. Prenatal Diagnosis. 2015;35:1128-36.

Russo P, Doyon J, Sonsino E, Ogier H, Saudubray JM. A congenital anomaly of vitamin B12 metabolism: a study of three cases. Hum Pathol. 1992;23(5):504-12.

Burton GJ, Fowden AL. The placenta: a multifaceted, transient organ. Philos Trans R Soc Lond B Biol Sci. 2015;370(1663):20140066.

López-Medina MD, López-Araque AB, Linares-Abad M, López-Medina IM. Umbilical cord separation time, predictors and healing complications in newborns with dry care. PLoS One. 2020;15(1):e0227209.

Pardo Vargas RA, Aracena M, Aravena T, et al. Congenital anomalies of poor prognosis. Genetics Consensus Committee. Revista Chilena de Pediatria. 2016;87(5):422-31.

Bijma HH, Wildschut HI, van der Heide A, van der Maas PJ, Wladimiroff JW. Obstetricians' agreement on fetal prognosis after ultrasound diagnosis of fetal anomalies. Prenat Diagn. 2004;24(9):713-8.

Schechtman KB, Gray DL, Baty JD, Rothman SM. Decision-making for induced labour of pregnancies with fetal anomalies: analysis of 53,000 pregnancies. Obstet Gynecol. 2002;99(2):216-22.

Blakeley C, Smith DM, Johnstone ED, Wittkowski A. Parental decision-making following a prenatal diagnosis that is lethal, life-limiting, or has long term implications for the future child and family: a meta-synthesis of qualitative literature. BMC Med Ethics. 2019;20(1):56.

Dastgiri S, Gilmour WH, Stone DH. Survival of children born with congenital anomalies. Arch Dis Childhood. 2003;88:391-4.

Glinianaia SV, Morris JK, Best KE, Santoro M, Coi A, Armaroli A, Rankin J. Long-term survival of children born with congenital anomalies: A systematic review and meta-analysis of population-based studies. PLoS Med. 2020;17(9):e1003356.

Wessel LM, Fuchs J, Rolle U. The Surgical Correction of Congenital Deformities: The Treatment of Diaphragmatic Hernia, Esophageal Atresia and Small Bowel Atresia. Dtsch Arztebl Int. 2015;112(20):357-64.

Raj M, Paul M, Sudhakar A, Varghese AA, Haridas AC, Kabali C, et al. Micro-economic impact of congenital heart surgery: results of a prospective study from a limited-resource setting. PLoS One. 2015;10(6):e0131348.

Ho JJ, Thong MK, Nurani NK. Prenatal detection of birth defects in a Malaysian population: estimation of the influence of induced labour of pregnancy on birth prevalence in a developing country. Aust N Z J Obstet Gynaecol. 2006;46(1):55-7.

Park SH, Chi JG, Cho BK. Congenital arteriovenous malformation associated with progressive hydrocephalus in a newborn. J Korean Med Sci. 1991;6(4):362-6.

Gembruch U, Hansmann M, Redel DA, Bald R. Intrauterine therapy of fetal tachyarrhythmias: intraperitoneal administration of antiarrhythmic drugs to the fetus in fetal tachyarrhythmias with severe hydrops fetalis. J Perinat Med. 1988;16(1):39-44.

Morris RK, Malin GL, Quinlan-Jones E, Middleton LJ, Hemming K, Burke D, et al. Percutaneous vesicoamniotic shunting in Lower Urinary Tract Obstruction (PLUTO) Collabourative Group. Percutaneous vesicoamniotic shunting versus conservative management for fetal lower urinary tract obstruction (PLUTO): a randomised trial. Lancet. 2013;382(9903):1496-506.

Quintero RA, Kontopoulos E, Chmait RH. Laser Treatment of Twin-to-Twin Transfusion Syndrome. Twin Res Hum Genet. 2016;19(3):197-206.

Winder FM, Vonzun L, Meuli M, Moehrlen U, Mazzone L, Krähenmann F, Hüsler M, Zimmermann R, Ochsenbein-Kölble N. Maternal Complications following Open Fetal Myelomeningocele Repair at the Zurich Center for Fetal Diagnosis and Therapy. Fetal Diagn Ther. 2019;46(3):153-8.

Soni S, Moldenhauer JS, Spinner SS, Rendon N, Khalek N, Martinez-Poyer J, Johnson MP, Adzick NS. Chorioamniotic membrane separation and preterm premature rupture of membranes complicating in utero myelomeningocele repair. Am J Obstet Gynecol. 2016;214(5):647.

Wataganara T, Grunebaum A, Chervenak F, Wielgos M. Delivery modes in case of fetal malformations. J Perinatal Med. 2017;45(3):273-9.

Arora R, Rajaram P, Oumachigui A, Parveena. Destructive operations in modern obstetrics in a developing country at tertiary level. Br J Obstet Gynaecol. 1993;100(10):967-8.

Liberty G, Gemer O, Siyanov I, Anteby E.Y, Apter A, Cohen SM. The Relation between Head Circumference and Mid-Pelvic Circumference: A Simple Index for Cephalopelvic Disproportion Evaluation. Fetal Diagn Ther. 2021;48:840-8.