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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. Study design: 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 χ 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). Conclusion: There is no significant difference in grief resolution among women who terminate a desired pregnancy by either medical or surgical abortion.
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. Study design: 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 χ 2 tests, Mann-Whitney U 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). Conclusion: There is no significant difference in grief resolution among women who ter minate a desired pregnancy by either medical or surgical abortion.