title: [Termination of pregnancy without feticide: A French national survey].
abstract: OBJECTIVE
  Termination of pregnancy without feticide (TOPWF) is poorly known in France and far less practiced than palliative care after term birth of a child having a lethal pathology. Few teams consider it and its practice remains confidential. This survey tries to describe it.
  
  
  METHODS
  A national survey was realized in 2014 using a questionnaire sent to 50 centers of prenatal diagnosis depending on a perinatal diagnosis center in France.
  
  
  RESULTS
  Thirty-one centers answered the questionnaire. Seven teams shared their experience of TOPWF after 22-24 weeks gestation (WG). This practice concerned fetuses affected by "lethal" pathologies. The absence of feticide followed a parental request or a proposal of the medical team, after individual discussion in a multidisciplinary meeting. All the children born alive after TOPWF benefited of palliative care. The 24 other centers having answered our investigation performed systematically the feticide beyond 22-24 WG. They so wished "to protect" the fetus, the parents and the nursing team. A majority of these teams faced parental demands of abstention of feticide but few of them answered it favorably.
  
  
  CONCLUSIONS
  A robust "palliative culture" seems essential to allow the nursing team to consider the development of TOPWF.
authors.affiliation: Département de gynécologie obstétrique, centre pluridisciplinaire de diagnostic prénatal, CHU de Rennes, 16, boulevard de Bulgarie, 35000 Rennes, France. Electronic address: Helene.chappe@gmail.com.
authors.forename: H
authors.initials: H
authors.lastname: Chappé
authors.affiliation: Département de gynécologie obstétrique, centre pluridisciplinaire de diagnostic prénatal, CHU de Rennes, 16, boulevard de Bulgarie, 35000 Rennes, France.
authors.forename: P
authors.initials: P
authors.lastname: Bétrémieux
authors.affiliation: Département de gynécologie obstétrique, centre pluridisciplinaire de diagnostic prénatal, CHU de Rennes, 16, boulevard de Bulgarie, 35000 Rennes, France.
authors.forename: V
authors.initials: V
authors.lastname: Morel
authors.affiliation: Département de gynécologie obstétrique, centre pluridisciplinaire de diagnostic prénatal, CHU de Rennes, 16, boulevard de Bulgarie, 35000 Rennes, France.
authors.forename: M-L
authors.initials: ML
authors.lastname: Huillery
authors.affiliation: Département de gynécologie obstétrique, centre pluridisciplinaire de diagnostic prénatal, CHU de Rennes, 16, boulevard de Bulgarie, 35000 Rennes, France.
authors.forename: G
authors.initials: G
authors.lastname: Le Bouar
mesh_terms: D000032:Abortion, Therapeutic / Q000706:statistics & numerical data*; D000328:Adult; D005260:Female; D005315:Fetal Diseases; D005602:France; D019538:Health Care Surveys / Q000706:statistics & numerical data*; D006801:Humans; D010166:Palliative Care / Q000706:statistics & numerical data*; D011247:Pregnancy; D011263:Pregnancy Trimester, Third
keywords: IMG sans fœticide; Palliative care; Soins palliatifs; Termination of pregnancy without feticide