The effects of multiple gestation and selective reduction on fetal outcome
| Autor: | Carole Dietterich, Beth Vetter, Jerome H. Check, Amy Rankin, Beth Schubert, Kosrow Nowroozi |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
medicine.medical_specialty
Quadruplets Ultrasonography Prenatal Multiple Gestation Obstetric Labor Premature Pregnancy Internal medicine Medicine Humans Selective reduction Abortion Therapeutic Fetal Death Fetus Chi-Square Distribution Triplets business.industry Obstetrics Pregnancy Outcome Obstetrics and Gynecology medicine.disease Pregnancy Trimester First Endocrinology Pediatrics Perinatology and Child Health Gestation Fetal outcome Fetal Demise Female Morbidity Pregnancy Multiple business |
| Zdroj: | Journal of perinatal medicine. 21(4) |
| ISSN: | 0300-5577 |
| Popis: | A group of 32 women with at least 3 or more viable fetuses by sonography at approximately 8 weeks gestation were given the option of selective reduction. They were advised that this was a relatively new procedure but heretofore in a small series was not associated with a significant increase in fetal demise. Only 7 of 32 women chose this option. six of these 7 had triplets reduced to twins, 1 woman had quadruplets reduced to twins. Thirteen of 14 viable babies were successfully delivered at a mean of 36.8 weeks gestation; 2 of 7 (28.6%) delivered before 37 weeks. In contrast, 7 of 25 (24%) not having reduction lost all babies (6 triplets, 1 quadruplet). Four other women lost at least 1 of their gestations (total of 5 babies). Pre-term deliveries (< 37 weeks) occurred in 16 of 18 (88.8%) patients delivering at least 1 live baby, with a mean of 33.7 weeks gestation. Thus the high rate of total fetal loss and prematurity for multiple gestation and the low pregnancy wastage and pre-term delivery rate following selective reduction might make the latter a reasonable therapeutic option to patients interested in having the best chance of delivering healthy viable babies. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|