Médical interruption of pregnancy in the 2nd and 3rd trimester of pregnancy: about 42 cases collged ať the Tunis Maternity and Neonatology Center “Service A”

Background: Study IMGs in the 2nd or 3rd trimester of pregnancy department “A” CMNT.Methods: Descriptive and analytical cross-sectional study obstetrics gynecology CMNT from January to June 2012. The variables studied related sociodemographic characteristics, diagnosis, management prognosis. Undiagnosed fetal abnormalities 1st trimester, serious maternal pathologies are inclusion criteria. for embryofetopathies MFIUs were not included study.Results: average age was 32 years with an term 27 weeks amenorrhea 01 day. indication 97.6% fetal. Fetal malformations divided into 54.8% neurological abnormalities, 4.8% renal digestive bone 2.4% pulmonary cardiac abnormalities. foeto-pathological examination carried out 64.3% confirming antenatal diagnosis ultrasound sensitivity 67.6% 83.3% trimester. overall expulsion time 30.6 hours (<28 SA) 43.9 (>28 SA), success rate at 24 one uterine rupture, 3 retentions hemorrhage. No cases death infection observed.Conclusions: delay makes it difficult decide on abortion practitioners parents. Antenatal karyotype represented means that made possible pose suspect abnormality.