Fetal reduction from twin to singleton gestation: A meta‐analysis

Autor: Mamta Gupta, Nikhil Gupta, Gal Greenberg, Eran Hadar, Anat Shmueli, Ron Bardin, Anchal Nandrajog, Sharon Perlman, Kinneret Tenenbaum-Gavish
Rok vydání: 2021
Předmět:
Zdroj: International Journal of Gynecology & Obstetrics. 158:260-269
ISSN: 1879-3479
0020-7292
DOI: 10.1002/ijgo.14016
Popis: OBJECTIVE To evaluate outcomes of fetal reduction in twin pregnancy. SEARCH STRATEGY PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and Google Scholar were searched from 1980 through December 2020. SELECTION CRITERIA Prospective or retrospective studies of pregnant women with twin gestations who had a transabdominal reduction of twin to singleton pregnancy with a comparison group of ongoing twin gestations. DATA COLLECTION AND ANALYSIS Outcomes were meta-analyzed only if reported in at least three studies. MAIN RESULTS Six studies with a pooled sample of 2867 women with a twin pregnancy of whom 624 underwent 2-to-1 reduction and 2243 did not. In the fetal reduction group, the odds of preterm birth before 34 and 37 weeks of pregnancy were lower by 36% (odds ratio [OR] 0.64, 95% confidence interval [CI] 0.48-0.86, P
Databáze: OpenAIRE