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Giornale Italiano di ostetricia e ginecologia

Obstetric outcomes for women coming to the Trento family planning centre for a voluntary termination of pregnancy. Data for 2003-2017

Original Article, 93 - 101
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Abstract
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Aim. The purpose of the study was to assess the obstetric outcomes in users of the Trento family planning centre who obtained voluntary termination certification between 01/01/2003 and 31/12/2017, by comparing the social and demographic characteristics of women who chose to have a termination with those of women who decide to continue their pregnancy.
Methods. The data concerning the users of Trento family planning centre who obtained termination certification are entered in a dedicated database. For each case, we collected a series of variables, most of which are the same as those recorded with the D12 template, the tool the Italian Institute of Statistics uses to monitor terminations. For each case relating to a woman residing in the province of Trento we assessed the obstetric outcomes in the 9 months following the issuance of the termination certificate, using the appropriate Trento health authority archives: births register, miscarriage register and the Accident & Emergency Dept. records. A multiple logistic regression model was used to evaluate the differences in the social and demographic characteristics of women who opted for a termination and those who decided to continue their pregnancy.
Results. Of the 3563 female residents to whom Trento family planning centre issued a termination certificate in the period 2003-2017, it was observed that, with the exception of 46 cases that could not be confirmed, 82.6% actually had a termination, 6.0% had a miscarriage after having planned a termination, 0.6% decided to continue their pregnancy and subsequently had a miscarriage and 9.6% decided to continue the pregnancy and actually gave birth.
The trend over time for cases of termination is not statistically significant and the social and demographic factors associated with the likelihood of continuing the pregnancy are: age between 30 and 34 years rather than minors, being married/cohabiting rather than
single, being of a non-EU nationality, being nulliparous or primiparous rather than pluriparous, not having had a termination in the past.
Conclusion. Issuance of a termination certificate does not automatically entail the performance of a termination procedure. By Italian law, women must be allowed adequate time to decide. The woman’s social and demographic characteristics weigh heavily on the
final decision. Family planning centres can provide great support to women’s health when they interact correctly with the other health services. Interaction with local epidemiological services can afford a more accurate assessment of its work.
What is new in this paper. The issuance of a termination certificate does not necessarily lead to the performance of a termination procedure. 8 out of 10 cases actually have a termination. Women’s social and demographic characteristics weigh heavily on their final
decision. Interaction with local epidemiological services can afford family planning centres a more accurate assessment of their work.

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