Fetopathological investigations after induced abortions performed in mid-term gemini pregnancies

Joó, Gábor József; Csatlós, Éva; Börzsönyi, Balázs; Demendi, Csaba; Rigó, János

doi:10.1016/j.prp.2011.04.003

Cited by 1 publication

(6 citation statements)

References 22 publications

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“…In our study, 35.5% fetuses resulted from ART pregnancies, a similar rate observed in the study of Joó et al [23] . Despite the small number of cases in our group, the contribution of ART seems higher than expected.…”

Section: Discussionsupporting

confidence: 91%

“…The proportion of fetuses from monochorionic pregnancies (37.5%) was higher than in the studies of Joó et al [23] (29.4%) and Gul et al [28] (23%). Those results confirm the higher incidence of anomalies in monochorionic twins.…”

Section: Discussioncontrasting

confidence: 64%

“…In our group of fetuses submitted to TOP, 6.3% were derived from multiple pregnancies. In the study performed by Joó et al [23], only 2.4% were twin pregnancies. Other studies evaluating the importance of autopsy in cases of medical TOP due to morphological anomalies do not discriminate the proportion of fetuses derived from multiple pregnancies.…”

Section: Discussionmentioning

confidence: 87%

“…It is difficult to compare our study with other studies because only one article is available about TOP in twins [23] and the methodology is quite different. To our knowledge, this is the first study to evaluate the contribution of fetal autopsy in cases of fetuses from multiple pregnancies, including cases submitted to selective feticide.…”

Section: Discussionmentioning

confidence: 96%

“…Those results confirm the higher incidence of anomalies in monochorionic twins. The most prevalent anomalies are those of the nervous system, according to the results from other studies, either from terminations [23] , from evaluation of discordant twins [28] or from population studies [4] . Similarly to Mastroiacovo et al [4] , we had a case of holoprosencephaly.…”

Section: Discussionmentioning

confidence: 99%

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Clinical Impact of Systematically Performing Autopsies following Selective Termination of Pregnancies: Comparison between Multiples and Singletons

et al. 2014

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Introduction: The aim of this study was to evaluate the clinical impact of systematically performing autopsies following selective termination of pregnancy. Material and Methods: A retrospective study of necropsies following medical termination of pregnancy performed in a tertiary referral hospital. A correlation between prenatal diagnosis and postmortem findings was performed. The cases were classified as having complete agreement, complete disagreement or major agreement with additional information. A comparison between multiples (n = 29) and singletons (n = 374) was undertaken. Results: The median gestational age at the time of termination/selective feticide was 19 (11-34) weeks in multiples and 18 (6-36) weeks in singletons (p = 0.190). In 5 cases (17.2%) of multiples (50.0% submitted to selective feticide) fetal autopsy was not possible, while in singletons autopsy was not feasible in only 1.3% (p < 0.005). Discussion: Contrarily to singleton pregnancies, in twin pregnancies with termination of 1 fetus it should not be possible to undertake an autopsy. When a selective termination is performed away from delivery, the time of retention may hinder the feasibility of the necropsy study. In those cases, it is crucial to make an exhaustive investigation previously to selective feticide.

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Section: Discussionsupporting

confidence: 91%

Section: Discussioncontrasting

confidence: 64%

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 96%