Dept Menu

Audience Menu

 
Safety, effectiveness, and feasibility of funic potassium chloride injection to induce fetal demise prior to dilation and evacuation

Siripanth Nippita, MD, MS, Beth Israel Deaconess Medical Center

Project abstract

The Partial-Birth Abortion Ban Act of 2003 prohibits practitioners from performing a procedure with the intent of extracting a live fetus past defined anatomical landmarks. Abortion providers are in compliance with the law if fetal demise, whether incidental or induced, occurs prior to performing a dilation and evacuation (D&E) procedure.

There is a need to study safe, effective techniques to induce fetal demise that are acceptable to women undergoing D&E. Various doses and routes of potassium chloride (KCl) injection have been reported in the literature and are effective, expedient, and safe for the woman. However, fetal intracardiac injection or ultrasound-guided injection into the umbilical cord (funic injection) requires specialized skill and an additional procedure, which may cause distress if not done under sedation in conjunction with D&E.

Funic injection under direct observation at the time of D&E addresses these limitations, but the safety, effectiveness, and feasibility of this procedure have not been formally evaluated. We propose a study to address these knowledge gaps, and to explore acceptability among women undergoing this procedure. We will develop a protocol for both dosing and for teaching this technique. Pilot data from this project will be used to compare funic KCl injection to other feticidal methods currently in use.


Back to top