Pregnancy outcome following fetal reduction from dichorionic twins to singleton gestation
| Autor: | Anat Shmueli, Kinneret Tenenbaum-Gavish, Eyal Krispin, Gal Greenberg, Eran Hadar, Arnon Wiznitzer, Shir Danieli-Gruber, Galia Oron, Ron Bardin |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Twins Reproductive medicine Gestational Age lcsh:Gynecology and obstetrics Pregnancy outcome 03 medical and health sciences 0302 clinical medicine Singleton Pregnancy medicine Humans 030212 general & internal medicine Israel lcsh:RG1-991 Survival analysis Retrospective Studies Reduction Fetus 030219 obstetrics & reproductive medicine Obstetrics business.industry Infant Newborn Obstetrics and Gynecology Gestational age medicine.disease Pregnancy Reduction Multifetal Gestational diabetes Diabetes Gestational Case-Control Studies Pregnancy Twin Premature Birth Small for gestational age Gestation Female business Research Article |
| Zdroj: | BMC Pregnancy and Childbirth, Vol 20, Iss 1, Pp 1-8 (2020) BMC Pregnancy and Childbirth |
| ISSN: | 1471-2393 |
| DOI: | 10.1186/s12884-020-03076-7 |
| Popis: | Background There are still some controversies regarding the risks and benefits of fetal reduction from twins to singletons. We aimed to evaluate if fetal reduction from twins to singleton improves pregnancy outcome. Methods Retrospective analysis of all dichorionic-diamniotic twin pregnancies, who underwent fetal reduction. Pregnancy outcome was compared to ongoing, non-reduced, dichorionic-diamniotic gestations. Primary outcome was preterm birth prior to 37 gestational weeks. Secondary outcomes included: preterm birth prior to 34 gestational weeks, gestational age at delivery, birthweight, small for gestational age, hypertensive disorders, gestational diabetes and stillbirth. Results Ninety-eight reduced pregnancies were compared with 222 ongoing twins. Preterm birth p A Kaplan-Meier survival curve showed a significant proportion of non-delivered women at each gestational week in the reduced group compared to non-reduced twins, after 29 gestational weeks. Conclusions Fetal reduction from twins to singleton reduces the risk of preterm birth |
| Databáze: | OpenAIRE |
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