{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T16:54:33Z","timestamp":1782924873688,"version":"3.54.5"},"reference-count":26,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology & Obste"],"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n This study evaluate the indications, timing, and maternal outcomes of termination of pregnancy (TOP) after 20\u2009weeks of gestation.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This single\u2010center retrospective cohort study included all TOP cases performed after 20\u2009weeks between January 2020 and December 2025 in a tertiary referral center. Clinical characteristics, indications, gestational age at diagnosis and termination, time interval between diagnosis and TOP, and delivery methods were analyzed. Cases were stratified into peri\u2010viable (20\u201324\u2009weeks) and post\u2010viable (>24\u2009weeks) groups. Univariable analyses were used to assess associations with delivery method and gestational age.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 116 TOP cases were included. The median gestational age at diagnosis and termination were 22 and 24\u2009weeks, respectively, with a median interval of 11\u2009days. The most common indications were central nervous system, cardiovascular, and genetic abnormalities. Post\u2010viable cases accounted for 30.2% of the cohort and were associated with higher parity and a higher rate of hysterotomy (28.6% vs. 11.1%, P\u2009=\u20090.028). Vaginal delivery was the predominant method (83.6%). Hysterotomy was associated with advanced gestational age, higher birth weight, and prior cesarean section but did not increase transfusion or intensive care unit admission rates despite greater hemoglobin decline.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Late TOP is a clinically complex but generally safe procedure with heterogeneous indications. While some cases might reflect delayed care, others are intrinsically late. Hysterotomy was not associated with increased major maternal morbidity in our cohort when clinically indicated.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ijgo.71174","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T16:18:16Z","timestamp":1782922696000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Timing, indications, and outcomes of termination of pregnancy after 20\u2009weeks: A retrospective single\u2010center cohort study"],"prefix":"10.1002","author":[{"given":"Erdem","family":"Fadiloglu","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal\u2013Fetal Medicine Hacettepe University Faculty of Medicine Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Cagan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal\u2013Fetal Medicine Hacettepe University Faculty of Medicine Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7074-4564","authenticated-orcid":false,"given":"Mert","family":"Eyupoglu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal\u2013Fetal Medicine Hacettepe University Faculty of Medicine Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeynab","family":"Mamtiyeva","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hacettepe University Faculty of Medicine Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahiba","family":"Salim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hacettepe University Faculty of Medicine Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozgur","family":"Deren","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal\u2013Fetal Medicine Hacettepe University Faculty of Medicine Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"issue":"3","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1111\/aogs.70122","article-title":"Early versus late termination for fetal anomalies: women's perspectives and psychological impact in a mixed methods study","volume":"105","author":"Lust EER","year":"2026","journal-title":"Acta Obstet Gynecol Scand"},{"key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.ejogrb.2018.11.021","article-title":"Indications leading to termination of pregnancy between 22(+0) and 31(+6) weeks of gestational age in France: a population\u2010based cohort study","volume":"233","author":"Monier I","year":"2019","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"1","key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1363\/46e0920","article-title":"Global developments in laws on induced abortion: 2008\u20102019","volume":"46","author":"Remez L","year":"2020","journal-title":"Int Perspect Sex Reprod Health"},{"issue":"6","key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1111\/j.1471-0528.2010.02531.x","article-title":"Termination of pregnancy for fetal anomaly after 23\u2009weeks of gestation: a European register\u2010based study","volume":"117","author":"Garne E","year":"2010","journal-title":"BJOG"},{"key":"e_1_2_11_6_1","unstructured":"Royal Australian and New Zealand College of Obstetricians and Gynaecologists.Clinical guideline for abortion care.2023https:\/\/ranzcog.edu.au\/wp\u2010content\/uploads\/Clinical\u2010Guideline\u2010Abortion\u2010Care.pdf"},{"key":"e_1_2_11_7_1","article-title":"Periviable birth. 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