AI Article Synopsis
- The study analyzed the approval rates of late termination of pregnancy (LTOP) requests in Israel before and after a policy change in 2007.
- Researchers reviewed applications from 2002-2007 and 2007-2012, finding no significant change in overall approval rates, despite some shifts in specific reasons for requests.
- The stricter criteria introduced in 2007 did not significantly impact the rejection rates for structural anomalies, indicating that the policy change may not have had the intended effect on these types of requests.
Article Abstract
Objective: To compare approval rates of late termination of pregnancy (LTOP) requests before and after a policy change in Israel in late 2007.
Methods: In a retrospective study, LTOP requests and board decisions from 2002-2007 (group 1) were compared with those from 2007-2012 (group 2) at 3 university-affiliated medical centers in Israel. Reasons for application, approval, or rejection were compared between the groups.
Results: There were 552 applications for LTOP. The overall approval rate for LTOP and the specific approval rate per medical indication did not differ significantly between the groups. The rate of requests due to confirmed genetic anomalies decreased from 18.4% in group 1 to 11.3% in group 2 (P=0.03). Compared with group 1, the rate of rejection for intrauterine infection increased from 8.3% to 26.3% (P=0.2), and that for pregnancy complications decreased from 62.5% to 35.0% (P=0.2) in group 2 but these differences were not statistically significant. Requests due to structural anomalies were declined because they were considered to be minor cardiac, renal, cerebral, or skeletal anomalies.
Conclusion: The more stringent 2007 criteria for approving requests for LTOP did not affect the rate of rejection of requests due to structural anomalies between the 2 time periods.
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| http://dx.doi.org/10.1016/j.ijgo.2013.10.016 | DOI Listing |
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