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Introduction <p>In a&#xa0;retrospective study at the Institute of Legal Medicine Frankfurt am Main 123 assessments of abortions according to medical-social indications commissioned by the public prosecutor’s office between 2014 and 2023 were evaluated.</p> Methodology <p>The case documents sent by the criminal investigation department for evaluation were examined for completeness and analyzed with respect to the current legal situation.</p> Results <p>Of the 123 cases examined 79.7% had incomplete medical records. Abnormalities of the fetuses were diagnosed in 55.8% of cases between the 20th&#xa0;and 24th&#xa0;week of pregnancy. Except for three cases the reasons given for the indications were general in the wording, not directly related to the pregnant woman and in some cases had similar wording. In one case, the consulting physician recommended an abortion on the basis of the fetal diagnosis and not on the basis of a&#xa0;possible imminent threat to the pregnant woman. In 17.0% of cases the mandatory 3‑day period between communicating the diagnosis and the indications was not respected. In 22.8% of cases the abortion was performed by the doctor who had issued the indication. In 3.5% of the available death certificates it was suspected that the documents were filled out by the doctor who had performed the abortion.</p> Discussion <p>The evaluation of the available documentation suggests that the execution of abortions according to medical-social indications does not always fully comply with the current legal situation. A potential for optimization in the procedures and documentation to ensure a&#xa0;legally sound procedure seems to exist.</p>

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Schwangerschaftsabbrüche nach medizinisch-sozialer Indikation: Begutachtungen am Institut für Rechtsmedizin Frankfurt (2014–2023)

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  • 发表日期：

    2025年4月9日

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  • E. Stephan,
  • F. Holz,
  • P. J. Chabiera,
  • M. A. Verhoff,
  • T. E. N. Ohlwärther,
  • P. M. Wolf,
  • C. G. Birngruber

摘要

Introduction

In a retrospective study at the Institute of Legal Medicine Frankfurt am Main 123 assessments of abortions according to medical-social indications commissioned by the public prosecutor’s office between 2014 and 2023 were evaluated.

Methodology

The case documents sent by the criminal investigation department for evaluation were examined for completeness and analyzed with respect to the current legal situation.

Results

Of the 123 cases examined 79.7% had incomplete medical records. Abnormalities of the fetuses were diagnosed in 55.8% of cases between the 20th and 24th week of pregnancy. Except for three cases the reasons given for the indications were general in the wording, not directly related to the pregnant woman and in some cases had similar wording. In one case, the consulting physician recommended an abortion on the basis of the fetal diagnosis and not on the basis of a possible imminent threat to the pregnant woman. In 17.0% of cases the mandatory 3‑day period between communicating the diagnosis and the indications was not respected. In 22.8% of cases the abortion was performed by the doctor who had issued the indication. In 3.5% of the available death certificates it was suspected that the documents were filled out by the doctor who had performed the abortion.

Discussion

The evaluation of the available documentation suggests that the execution of abortions according to medical-social indications does not always fully comply with the current legal situation. A potential for optimization in the procedures and documentation to ensure a legally sound procedure seems to exist.