PDF(Pubmed)
Abstract：
Feticide is the practice of inducing fetal demise before the termination of pregnancy. In England and Wales, it is recommended for terminations of pregnancy beyond 21+6 weeks of gestation. This project analyses the trends in feticide in singleton pregnancy in England and Wales between 2012 and 2020. This project was a retrospective study that analysed data extracted from the Health and Social Act 4 (HSA4) forms submitted to the Department of Health and Social Care (DHSC). The data extracted by the DHSC included the prevalence of feticide, methods of feticide and termination, statutory grounds, gestation, service provider, maternal age, ethnicity and obstetric history. In addition, data analysis was carried out to identify trends. Between 2012 and 2020, there were 9310 feticides in England and Wales, undertaken in 0.5% of all abortions. The prevalence of feticide fluctuated; however, there was an overall decrease from 1084 cases in 2012 to 1000 cases in 2020. Intracardiac injection of potassium chloride was the most frequent method of achieving feticide (67.2%). Just over half (55.8%) of feticides took place under Ground E of the Abortion Act 1967, with the main indication being congenital malformations of the nervous system. Two-fifths (40.2%) of feticides took place at 23 weeks, 22.8% at 22 weeks and 13.5% between 20 and 21 weeks. The remainder occurred at later gestations: 17.5% at 24-29 weeks and 5.9% beyond 29 weeks. During our study period, it was more common for feticides to be carried out as part of a medical termination than a surgical termination and 60.3% occurred in NHS hospitals. Women undergoing feticide were mostly aged 30-34 years (38.3%) and of White ethnicity (78.6%). Feticide is an essential component of comprehensive abortion care for women undergoing late second and third-trimester abortions. This study provides insight into how feticide is carried out in England and Wales and demonstrates the effect of the COVID-19 pandemic on reducing feticide prevalence. Future research should analyse in more detail the use of the different methods of feticide.
摘要：
杀宫剂是在终止妊娠之前诱导胎儿死亡的做法。在英格兰和威尔士,建议终止妊娠超过21+6周的妊娠。该项目分析了2012年至2020年英格兰和威尔士单胎妊娠中的杀虫趋势。该项目是一项回顾性研究，分析了从提交给卫生与社会关怀部（DHSC）的《健康与社会法案4》（HSA4）表格中提取的数据。DHSC提取的数据包括杀虫剂的患病率，杀虫剂和终止的方法，法定理由，妊娠,服务提供商，产妇年龄,种族和产科史。此外,进行数据分析以确定趋势.在2012年至2020年之间，英格兰和威尔士有9310个杀鸡药，占所有堕胎的0.5%。杀鸡药的流行率波动；然而，总体上从2012年的1084例减少到2020年的1000例.心内注射氯化钾是最常见的达到杀鸡药的方法（67.2％）。在1967年《堕胎法》的E地下发生了超过一半（55.8％）的致产物，主要指征是神经系统的先天性畸形。五分之二(40.2%)的产礼发生在23周,22周时为22.8%，20至21周时为13.5%。其余发生在妊娠后期：24-29周时为17.5％，29周后为5.9％。在我们学习期间,作为医疗终止的一部分,与手术终止相比,更常见的情况是,60.3%发生在NHS医院.接受杀胎的妇女大多年龄在30-34岁（38.3％）和白人（78.6％）。Feticide是对接受第二和第三三个月晚期堕胎的妇女进行全面堕胎护理的重要组成部分。这项研究深入了解了英格兰和威尔士是如何进行杀虫剂的，并证明了COVID-19大流行对降低杀虫剂患病率的影响。未来的研究应该更详细地分析不同方法的使用。
