Ending the pregnancy

Eva Pajkrt, Elisabeth van Leeuwen, Lara Ras, Iris Emons, Frederike Dekkers, Jane Fisher, Sam Riedijk

Research output: Chapter in Book/Report/Conference proceedingChapterAcademicpeer-review


Worldwide, together with aspiration, dilatation and curettage (D&C) is still the most frequently used method of termination of pregnancy. There is current evidence that such terminations have an association with cervical insufficiency and premature birth and this should be discussed with the couple. Alternatively, the administration of vaginal misoprostol a couple of hours before the D&C is also being advocated, specifically for this reason. A potential downside of this procedure is that the couple will not be able to see and hold their baby and, thus, have the option to say goodbye. On the other hand, some couples do not wish for any ceremony after birth and that should be respected as well as both favorable and unfavorable effects of seeing and holding the baby have been reported.
Original languageEnglish
Title of host publicationPrenatal Genetic Counseling
Subtitle of host publicationPractical Support for Prenatal Diagnostics, Decision-Making, and Dealing with Uncertainty
Number of pages27
ISBN (Electronic)9780128233290
ISBN (Print)9780128233313
Publication statusPublished - 1 Jan 2022

Publication series

NamePrenatal Genetic Counseling: Practical Support for Prenatal Diagnostics, Decision-Making, and Dealing with Uncertainty


  • Termination of pregnancy
  • fetal heart
  • hospital admittance
  • mifepristone
  • misoprostol
  • pregnancy

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