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. 2020 Aug 20;4(1):e000684. doi: 10.1136/bmjpo-2020-000684

Table 5.

Termination rates

Author(s) Study location Study type Study population # of fetuses # of fetuses terminated (%)
Africa
de Paul Djientcheu et al22 Cameroon Retrospective descriptive observational study Institutional; patients with NTDs 8  0 (0%)
Shalaby et al95 Egypt Retrospective cross-sectional study Institutional; patients with urinary anomalies 41  11 (26.8%)
Sorri and Mesfin43 Ethiopia Retrospective cross-sectional study Multi-centre; patients with NTDs at two tertiary hospitals 177  13 (7.3%)
Akinmoladun et al44 Nigeria Prospective descriptive observational study Institutional; patients with lethal congenital anomalies 5  4 (80%)
 Total 4 studies, 4 countries 3 retrospective, 1 prospective observational studies 3 institutional, 1 multicentre 231 28
Median: 17.1%
Range: 0%–80%
Asia
Li et al96 China Retrospective descriptive observational survey Regional; patients with NTDs 160  72 (45%)
Lu et al33 China Retrospective cross-sectional study National (data from 20 counties); patients with NTDs 361  355 (98.3%)
Xie et al91 China Retrospective descriptive observational study Institutional; patients with bronchopulmonary sequestration 22  8 (36.4%)
Zhang et al97 China Retrospective descriptive observational study Institutional; patients with pulmonary sequestration 68  2 (2.9%)
Kashyap et al98 India Retrospective descriptive observational study Institutional; patients with lethal congenital anomalies detected prior to 20 weeks of gestation 103  80 (77.7%)
Kumar et al99 India Prospective cohort study Institutional; patients with severe renal anomalies 55  9 (16.4%)
Kumar et al100 India Prospective descriptive observational study Institutional; patients with renal anomalies 136  12 (8.8%)
Sanghvi et al56 India Prospective descriptive observational study Institutional; patients with lethal renal anomalies 7  2 (28.6%)
Samadirad et al39 Iran Retrospective descriptive observational study Regional; patients with congenital anomalies 603  201 (33.3%)
Munim et al63 Pakistan Retrospective cohort study Institutional; patients with diaphragmatic hernia 41  6 (14.6%)
Hsieh et al101 Taiwan Retrospective descriptive observational study Institutional; patients with CDH 31  11 (35.5%)
Jaruratanasirikul et al102 Thailand Retrospective cross-sectional study Regional; patients with NTDs 28  12 (42.9%)
Pitukkijronnakorn et al64 Thailand Prospective cross-sectional study Institutional; patients with congenital anomalies 316  87 (27.5%)
Gammeltoft et al103 Vietnam Ethnographic study Institutional; patients with congenital anomalies 30  17 (56.7%)
 Total 14 studies, 7 countries 9 retrospective, 4 prospective observational studies; 1 ethnographic study 10 institutional, 3 regional, 1 national 1961  874
 Median: 34.4%
 Range: 2.9%–98.3%
Europe
Tudorache et al71 Romania Retrospective descriptive observational study Institutional; patients with severe CDH diagnosed in the second trimester of pregnancy 6  4 (66.7%)
Aygun et al73 Turkey Retrospective descriptive observational study Institutional; patients with NTDs 72  0 (0%)
Oztarhan et al104 Turkey Retrospective cohort study Institutional; patients with lethal congenital anomalies 1906  640 (33.6%)
Sahinoglu et al77 Turkey Retrospective case series (6 cases) Institutional; patients with body wall complex 6  4 (66.7%)
 Total 4 studies, 2 countries  4 retrospective observational studies  4 institutional 1990 648
Median: 50.2%
Range: 0%–66.7%
North America
Johnson et al42 Jamaica Retrospective descriptive observational study Institutional; patients with congenital anomalies 44  10 (22.7%)
 Total 1 study, 1 country  1 retrospective observational study  1 institutional 44 10
Median: N/A
Range: N/A
South America
Brizot et al105 Brazil Retrospective descriptive observational study Institutional; pairs of conjoined twins in which surgical separation was impossible and the condition lethal 36  30 (83.3%)
Pelizzari et al106 Brazil Retrospective cohort study Institutional; patients with anencephaly 29  12 (41.4%)
 Total 2 studies, 1 country  2 retrospective observational studies  2 institutional 65 42 (64.6%)
Median: 62.4%
Range: 41.4%–83.3%

CDH, congenital diaphragmatic hernia; NTD, neural tube defects.