Mourning the life you envisioned... Fetal Defect Abortion

Fetal Defect Abortion

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Facing the Decision Whether to Have a Termination for Medical Reasons (TFMR)?

🩺 Considering a TFMR? Take the Test

  • A Termination for Medical Reasons (TFMR) is the ending of a pregnancy due to the diagnosis of a fetal defect. This is also known as a medically based or medically indicated termination. TFMRs are also performed to save the mother’s life.
  • In most cases, the baby’s birth was eagerly anticipated, but the diagnosis of fetal anomalies is leading to the consideration of a late-term abortion.
  • Birth defects are genetic or structural conditions present at birth. These affect the shape or function of body parts.
  • It is common to experience shock, disbelief, despair, anger, or guilt when receiving a positive diagnosis after antenatal testing. These feelings matter because you matter! 💚

📖 This Page aims to provide you with helpful information about fetal defect abortions.

TFMR – Your Self-Evaluation

Wondering whether to terminate your pregnancy because of possible fetal health problems? Answer three multiple choice questions about your situation and receive an immediate evaluation!

When a Prenatal Screening Comes Back Positive...

During your first or second trimester, you will be offered screening tests to check for genetic conditions. These are non-invasive blood tests that use the baby’s genetic information within your blood. You will also be offered ultrasound scans to check the baby’s development.

If the prenatal screening shows an increased likelihood of a genetic condition, diagnostic tests are necessary if you want to evaluate whether an abnormal genetic makeup is present. This is done via amniocentesis.

While diagnostic tests have a higher accuracy rate than screenings, they cannot determine the severity of the condition.

If you received a positive diagnosis, your healthcare provider may mention abortion as an option. You may feel pressured to make a choice as soon as possible. Take a deep breath! In most cases, you will have several weeks before a decision must be made.

  • Wondering until when you can have an elective abortion for fetal defects? Find out HERE!

Before deciding whether to terminate your pregnancy, seek a second opinion from a genetic counselor, a developmental pediatrician, or a high-risk obstetrician.

Here are some questions to ask your health care specialist:

  • What is the percentage rate of false positives?
  • Is further testing possible?
  • What would life look like with this disability?
  • What kind of resources are available?

Seeking answers is key to making a decision that leaves you regret-free.

Birth Defect Abortion (TFMR) Regulations

Prenatal screenings are commonly offered between weeks 11 and 14. The anatomy ultrasound scan is given around week 20. Therefore, most fetal defects are diagnosed after the first trimester.

Threshold restrictions that apply to a healthy baby are often extended in cases of fetal abnormality. This can ease the pressure of having to make a quick decision. Here are the regulations for your area:

  • Region
    Regular Limit Restriction for Fetal Defect Abortion
    Alabama banned banned
    Alaska unlimited unlimited
    Arizona 15 weeks 15 weeks
    Arkansas banned banned
    California viability viability
    Colorado unlimited unlimited
    Connecticut viability viability
    Delaware viability viability
    Florida 15 weeks unlimited
    Georgia 6 weeks 6 weeks
    Hawaii viability viability
    Idaho banned banned
    Illinois viability viability
    Indiana 22 weeks 22 weeks
    Iowa 22 weeks 22 weeks
    Kansas 22 weeks 22 weeks
    Kentucky banned banned
    Louisiana banned permitted
    Maine viability viability
    Maryland viability viability
    Massachus 24 weeks 24 weeks
    Michigan 24 weeks 24 weeks
    Minnesota viability viability
    Mississippi banned banned
    Missouri banned banned
    Montana viability viability
    Nebraska 22 weeks unlimited
    Nevada 24 weeks 24 weeks
    N. Hampsh. 24 weeks 24 weeks
    New Jersey unlimited unlimited
    N. Mexico unlimited unlimited
    New York viability viability
    N. Carolina 20 weeks 20 weeks
    N. Dakota 22 weeks 22 weeks
    Ohio 22 weeks 22 weeks
    Oklahoma banned banned
    Oregon unlimited unlimited
    Pennsylv. 24 weeks 24 weeks
    Rhode Is. viability viability
    S. Carolina 22 weeks 22 weeks
    S. Dakota banned banned
    Tennessee banned banned
    Texas banned banned
    Utah 18 weeks 18 weeks
    Vermont unlimited unlimited
    Virginia 28 weeks 28 weeks
    Washington viability viability
    Wash. DC unlimited unlimited
    W. Virginia banned banned
    Wisconsin banned banned
    Wyoming viability viability

  • Region
    Regular Limit Restriction for Fetal Defect Abortion
    GB 24 weeks unlimited
    N. Ireland 24 weeks unlimited
    Ireland 12 weeks unlimited
  • Region
    Regular Limit Restriction for Fetal Defect Abortion
    ACT unlimited unlimited
    NSW 22 weeks unlimited
    NT 14 weeks 23 weeks
    QLD 22 weeks 22 weeks
    SA (2022) 22 w + 6d unlimited
    TAS 16 weeks 16 weeks
    VIC 24 weeks 24 weeks
    WA 20 weeks 20 weeks
  • While abortion is unrestricted throughout Canada, availability differs from state to state.

    Region
    Regular Limit Restriction for Fetal Defect Abortion
    Canada unlimited unlimited
    availability
    AB 20 weeks
    BC 24 w + 6d
    MB 16 weeks
    NB 16 weeks
    NL 16 weeks
    NT 20 weeks
    NS 16 weeks
    PEI 12 weeks
    NU 19 w + 6d
    ON 23 w + 6d
    QC 24 weeks
    SK 18 w + 6d
    YT 12 w + 6d
  • Region
    Regular Limit socio-economic reasons Restriction for Fetal Defect Abortion
    New Zealand 20 weeks 20 weeks unlimited
    South Africa 13 weeks 20 weeks unlimited
  • Region
    Regular Limit Restriction for Fetal Defect Abortion
    Austria see our Austrian page
    Brazil see our Portuguese page
    Cambodia 12 weeks unlimited
    Italy see our Italian page
    Mexico 15 weeks possible
    Netherlands 24 weeks 24 weeks
    Portugal see our Portuguese page
    Switzerland see our Swiss page
    Thailand 12 weeks 20 weeks

  • Surgeons usually consider the severity of fetal defects when determining abortion eligibility. They often limit terminations to defects that would drastically shorten the child's lifespan or encompass a “significant handicap.” In the UK, this is known as “Ground E.”
  • While TFMRs may be legal throughout pregnancy in your region, this option may not be available. Most abortion clinics only perform first-trimester abortions, as second- and third-trimester terminations require entirely different methods.
  • Want to know more about pregnancy termination regulations in your area? ➡️ Go to Abortion Laws (International)

What are Fetal Defect Abortion Methods?

Once the screening results are in, the ultrasound is completed, and the baby has undergone further diagnostic tests, the pregnancy is well into the second trimester or beyond. A termination at this point would be considered a late-term abortion. Unless the life of the mother is at stake, TFMRs are elective abortions, since you have the choice to let nature take its course, or terminate the pregnancy.

There are three options for late-term abortions:

  • Medical induction: Labor is induced in a hospital setting. The procedure takes 1 to 3 days.
  • D&E: The cervix is dilated, and the baby is evacuated in pieces. This procedure takes about 30 minutes.
  • D&X: The cervix is dilated, and the baby is extracted feet first. The brain is removed to decrease the circumference of the head for easier expulsion. This is an outpatient procedure.

Most TFMRs in the UK are inductions since few trained surgeons are available.

For more information on late-term abortions, click HERE

Fetal Defect Diagnosis – Where to Go from Here

A red flag during a screening or a diagnosis of chromosomal anomaly would turn your world upside down. The feelings you are having are a kind of grief – for the dreams and plans you had for your child’s future. Life may be different from what you had envisioned. It is normal to react with shock, sadness, anger, anxiety, or guilt. Or perhaps you feel completely numb. Any feeling is valid.

It is only natural to desire your child to be healthy. This shows you care!

💭 In addition to a whole range of emotions, you probably have many questions going through your mind. You might find it helpful to write them down. Here are some questions other women in similar situations have posed:

    • Can I be sure that my baby really has a congenital disability and how could I be certain of the severity?

    • How will others react?

    • No one understands how I feel – Whom can I turn to?

    • Will I be able to manage taking care of a special needs child? What kind of support is available?

    • Should a special needs child have a right to birth? Does a special needs child want to live? Would foster care or adoption be a feasible option for me?

    • Is life only worth living if it is free from suffering? Is that a decision I can make?

    • How have other parents dealt with this situation? What were they going through emotionally? Would it be helpful to talk to them?


Consider talking with someone who has walked this road before you. Perhaps they will allow you a sneak peek into their day-to-day lives. Additionally, you could find out more about support options. This will help you get a better picture of what to expect – without the pressure of choosing a specific route.

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Weighing your options may feel like a marathon – a long-distance race between your hopes and fears, leaving you exhausted. Medical professionals often add to the pressure, giving the impression that an immediate decision needs to be made.

🕰 Take the time to carefully weigh each step:

  • What do I really want?
  • Who would be a good support person for me?
  • What are my personal values?

You owe it to yourself!

Worrying About Birth Defects Without Diagnosis?

According to a recent poll by Parents magazine, you are not alone: 78% of pregnant women share this fear. Perhaps you did not take advantage of prenatal care and are concerned that the baby did not receive proper nutrients. You may have conceived later in life and are aware of the higher risk of birth defects. Perhaps you have had a history of miscarriages and fear that something will go wrong again.

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Maybe you used alcohol, drugs, or medication, and now you are wondering whether your consumption could have harmed your baby?

Frequently these suspicions prove to be groundless. Only 3% of babies are born with birth defects, most of which are minor or very treatable. You may find it helpful to speak to your doctor or midwife about these concerns.

Palliative Birth: An Option to Consider?

Some prenatal diagnoses reveal conditions that are life-threatening to the baby. It may not survive birth or only live for a short period of time.

Some women decide to go through with the pregnancy allowing mother and child to have a brief time together. These are powerful moments – a deep sense of loss coupled with an even greater sense of love and awe. Choosing this route can provide closure, allowing the process of inner healing to begin.

If you would like to find out more about neonatal palliative care, go to:

The Reaction of Others

Unlike most elective terminations, you are considering the abortion of a baby that was desired and anticipated with joy. This turn of events has left you reeling. You and everyone around you expected your pregnancy to progress smoothly.

Many women in this situation feel very alone. The people around them are likely at a loss for words and may respond with little compassion and hurtful remarks – this may even include her partner. He may be overcome by his own sense of powerlessness and may not be able to provide support.

If this describes you, know that you are not alone. We want to be there for you by providing the support you long for. Our digital coaching supplies unbiased counsel, making you feel understood and heard. Our self-evaluation tools were developed with your situation in mind:

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Disclaimer:

While profemina aims to provide you with the most up-to-date information possible, we cannot guarantee the accuracy of all content found in this article.

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