Aim: Inform of the experiences of midwives in providing care for women undergoing second-trimester abortions. Method: A qualitative approach was employed, utilizing a web-based survey distributed within Facebook-groups dedicated to midwifery. This survey comprised of multiple-choice questions, dictum questions and with open ended questions. Participants were also given the opportunity to provide detailed responses following each question. Data analysis was conducted using qualitative content analysis. Results: Findings underscore the critical role of midwives in providing essential support throughout the abortion process, highlighting abortion as a fundamental human right. Midwives emphasize the importance of respecting women’s decisions and providing personalized care despite challenges such as limited resources and societal stigma. Improvements in abortion care are needed, including access to pain relief and post-abortion support. Midwives advocate for enhanced education and resources to reduce stigma and ensure every woman receives the care she deserves. Conclusion: Engaging in abortion care as a midwife is viewed positively, offering purpose and empowerment. Challenges such as resource limitations and difficulty in managing pain can lead to feelings of inadequacy. There’s a call for prioritizing these patients and improving abortion care through better pain relief, education, and practical changes. / Syfte: Belysa barnmorskors erfarenheter av att vårda kvinnor som genomgår abort i andra trimestern. Metod: Kvalitativ metod med induktiv ansats. Webbaserad enkät distribuerades inom Facebook-grupper dedikerade barnmorskeprofessionen. Enkäten bestod av flervalsfrågor, dikotoma frågor och öppna frågor. Deltagarna gavs möjlighet att ge ett mer utförligt svar efter varje fråga. Resultat: Framhäver barnmorskans avgörande roll i att tillhandahålla väsentligt stöd genom hela abortprocessen och barnmorskorna understryker abort som en grundläggande mänsklig rättighet. Barnmorskor betonar vikten av att respektera kvinnors beslut och tillhandahålla individanpassad vård trots utmaningar såsom begränsade resurser och samhällets stigmatisering. Förbättringar inom abortvården behövs, som bättre smärtlindring och stöd efter aborten. Barnmorskor förespråkar ökad utbildning och mer resurser, och minskad stigmatisering för att säkerställa att varje kvinna erhåller den vård som behövs. Slutsats: Att vara engagerad i abortvård som barnmorska ses som positivt och ger en känsla av att vara behövd och göra skillnad. Utmaningar ses som resursbegränsningar och svårighet till optimal smärtlindring, vilket kan leda till känslor av otillräcklighet.

The aims were to investigate the accuracy of ultrasound in diagnosis of structural fetal anomalies with special focus on false positive findings (I), to evaluate the additional value of second trimester fetal MRI on pregnancy management (II-III) and to estimate the ascertainment in the Swedish Birth Defects Registry and incidence of spina bifida and cleft lip/palate (IV). Retrospectively, 328 fetal autopsies were identified where pregnancies were terminated due to ultrasonographically diagnosed fetal anomalies. In 175 (53.4 %) cases ultrasound and fetal autopsy were identical, in 124 (37.8 %) ultrasound was almost correct, in 23 (7.0 %)  ultrasound diagnoses could not be verified, but fetal autopsy showed other anomalies with at least the same prognostic value and in six (1.8 %)  ultrasound diagnosis could not be verified and autopsy showed no or less severe anomalies (I). Prospectively, 29 pregnancies with CNS- (II) and 63 with non-CNS-anomalies (III) were included. In the CNS study MRI provided no additional information in 18 fetuses (62 %), additional information without changing the management in 8 (28 %) and additional information altering the pregnancy management in 3 (10%). In the non-CNS study the corresponding figures were 43 (68 %), 17 (27 %) and three (5 %), respectively. MRI in the second trimester might be a clinically valuable adjunct to ultrasound for the evaluation of CNS anomalies, especially when the ultrasound is inconclusive due to maternal obesity (II) and in non-CNS anomalies in cases of diaphragmatic hernia or oligohydramnios (III). In newborns, the ascertainments of birth defects are relatively high and assessable, but in pregnancy terminations they are lower or unknown. The incidence of newborns with spina bifida has decreased because of an increased rate of pregnancy terminations (>60%). There is room for improvement concerning the reporting of anomalies from terminated pregnancies (IV).

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