The law and epidemiology of induced abortion

Published on 14/04/2017 by admin

Filed under Pediatrics

Last modified 14/04/2017

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B (alone, or with C or D)
C (alone)
D (alone, or with C)
E (alone, or with A, B, C or D)

61
130
180,117
2,122
2,692 14
81
141,644
1,605
20 9
21
24,257
431
366 21
18
12,259
85
1,431 17
10
1,957
1
875 Total 185,122 143,364 25,084 13,814 2,860

The HSA4 form allows the recording of all medical conditions and other details associated with the ground, such as the method used to make the diagnosis. In previous years, only the principal medical condition was published. Table 18.2 shows totals for the number of mentions of a medical condition in 2012. For example, congenital malformations were mentioned 1,676 times within the 2,692 Ground E cases, although they were cited as the principal condition in 1,197 cases[23].

Table 18.2 Legal abortions: principal medical condition and total mentions of medical conditions for abortions performed under Ground E, residents of England and Wales in 2012[23]
England and Wales, residents Numbers and percentagesb
ICD-10 code Conditiona Number of abortions by principal medical condition Number of mentions by principal medical condition Over 24 weeks’ gestation
Number % Number % Number %
Total ground E alone or with any otherc 2,692 100 160 100
Q00–Q89 Congenital malformations total 1,197 44 1,676 49 106 66
Q00–Q07 Nervous system total 607 23 755 22 69 43
Q00 Anencephaly 208 8 216 6 5 3
Q01 Encephalocele 33 1 39 1 1 1
Q02 Microcephaly 6 0 13 0 4 3
Q03 Hydrocephalus 26 1 36 1 3 2
Q04 Other malformations of the brain 109 4 156 5 30 19
Q05 Spina bifida 149 6 167 5 5 3
Q06–O07 Other 76 3 128 4 21 13
Q10–Q18 Eye, ear, face and neck 2 0 2 0 0 0
Q20–Q28 Cardiovascular system 191 7 305 9 12 8
G30–Q34 Respiratory system 16 1 26 1 1 1
Q35–Q37 Cleft lip and cleft palate 4 0 12 0 0 0
Q38–Q45 Other malformations of the digestive system 6 0 16 0 1 1
Q60–Q64 Urinary system 104 4 162 5 7 4
Q65–Q79 Musculoskeletal system 174 6 287 8 11 7
G80–G85 Skin, breast integument phakomatoses 7 0 11 0 1 1
Q86–Q89 Other 86 3 100 3 4 3
Q90–Q99 Chromosomal abnormalities total 1,012 38 1,088 32 32 20
Q90 Down’s syndrome 544 20 570 17 3 2
0910–Q913 Edwards’ syndrome 211 8 226 7 8 5
Q914–Q917 Patau’s syndrome 79 3 93 3 7 4
Q92–Q99 Other 178 7 199 6 14 9
Other conditions total 483 18 663 19 22 14
P00–P04 Fetus affected by maternal factors 165 6 235 7 1 1
P05–P08 Fetal disorders related to gestation and growth 27 1 38 1 11 7
P35–P39 Fetus affected by congenital infectious disease 0 0 0 0 0 0
P529 Intercranial nontraumatic hemorrhage of fetus 7 0 7 0 4 3
P832–P833 Hydrop fetalis not due to hemolytic disease 39 1 81 2 1 1
O30 Multiple gestation 39 1 45 1 0 0
O41 Disorder of the amniotic fluids 4 0 8 0 0 0
Z20–Z22 Exposure to communicable disease 6 0 7 0 5 3
Z80–Z84 Family history of heritable disorder 154 6 191 6 0 0
E84 Cystic fibrosis 15 1 17 0 0 0
G71 Disorder of the muscles 11 0 18 1 0 0
Other 11 0 11 0 0 0
Not knownd 5 0 5 0 0 0