title: Comparison of perinatal grief after dilation and evacuation or labor induction in second trimester terminations for fetal anomalies.
abstract: OBJECTIVE
  This study was undertaken to compare grief resolution after dilation and evacuation (D&E) or induction of labor (IOL) for second-trimester pregnancy termination.
  
  
  METHODS
  A prospective cohort of 49 women choosing second-trimester abortion caused by fetal anomalies by either medical IOL or D&E. Depression was evaluated by using the Edinburgh Postnatal Depression Scale and bereavement was assessed by using the Perinatal Grief Scale with follow-up to 12 months after pregnancy termination. Data were analyzed with chi 2 tests, Mann-Whitney U tests, and independent and paired sample t tests.
  
  
  RESULTS
  There was no significant difference in depression incidence on enrollment (61.9% D&E, 53.8% IOL, P = .579), at 4 months (23.5% D&E, 14.3% IOL, P = .252) or 12 months (27.3% D&E, 20.0% IOL, P = .696) or on the PGS at 4 months (74.1 vs 90.2, P = .351) or 12 months (73.3 vs 86.4, P = .658).
  
  
  CONCLUSIONS
  There is no significant difference in grief resolution among women who terminate a desired pregnancy by either medical or surgical abortion.
authors.affiliation: Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, USA. gburgoine@whallc.com
authors.forename: Gary A
authors.initials: GA
authors.lastname: Burgoine
authors.forename: Samuel D
authors.initials: SD
authors.lastname: Van Kirk
authors.forename: Jillian
authors.initials: J
authors.lastname: Romm
authors.forename: Alison B
authors.initials: AB
authors.lastname: Edelman
authors.forename: Sig-Linda
authors.initials: SL
authors.lastname: Jacobson
authors.forename: Jeffrey T
authors.initials: JT
authors.lastname: Jensen
mesh_terms: D000015:Abnormalities, Multiple / Q000523:psychology*; D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage; D000025:Abortion, Eugenic / Q000379:methods / Q000523:psychology*; D000328:Adult; D015331:Cohort Studies; D004107:Dilatation and Curettage / Q000523:psychology; D005260:Female; D006117:Grief; D006801:Humans; D007751:Labor, Induced / Q000379:methods / Q000523:psychology*; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales
chemical_list: D000020:Abortifacient Agents, Nonsteroidal