Procedural and obstetric outcomes after embryo reduction <i>v</i>s fetal reduction in multifetal pregnancy

Kim, Mi Sun; Choi, Dong Hee; Kwon, Hwang; Ahn, Eun Hee; Cho, Hee Young; Baek, Min Jung; Shin, Ji Eun; Moon, Miri

doi:10.1002/uog.19024

Cited by 14 publications

(11 citation statements)

References 28 publications

(38 reference statements)

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“…Embryo reduction has been performed in monochorionic twins, and on more than one embryo. The procedure‐related loss rate and overall fetal loss rate is higher after ER than after MFR, 57 but other pregnancy outcomes appear similar between the procedures. The timing of this early procedure may be preferable for some patients, but MFR allows time for any spontaneous early loss to occur, and for genetic screening or testing before an irreversible fetal reduction procedure.…”

Section: Introductionmentioning

confidence: 94%

Triplet pregnancy: What do we tell the prospective parents

Mhatre

Craigo

2021

Prenatal Diagnosis

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Experience managing triplet pregnancies has increased over the past few decades as the incidence has changed related to assisted reproductive practices. Physicians caring for women carrying triplets cannot predict an individual outcome or pregnancy course but must educate patients about the challenges related to these high risk pregnancies. Obstetric providers can describe the wide range of risks associated with triplet gestations, and the general plan for management, but ultimately parents must make decisions with potentially lifelong consequences. Here, we present the diagnostic criteria, common complications, and management options for triplet pregnancies, to help obstetricians counsel patients on the medical and psychosocial consequences of triplet pregnancy, potential complications, and multifetal reduction.

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Section: Introductionmentioning

confidence: 94%

Triplet pregnancy: What do we tell the prospective parents

Mhatre

Craigo

2021

Prenatal Diagnosis

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“…In both healthy and CKD women, singleton pregnancy was safer than multifetal pregnancy. But after the trial of induced ovulation, multifetal pregnancies are reduced to twins to increase the chances of delivering at least one viable fetus in many cases [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

Management and outcome of multifetal gestation in a 35-year-old woman with childhood-onset membranoproliferative glomerulonephritis type I

Motoyama

Sakai

Iitaka³

2018

CEN Case Rep

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A 35-year-old woman with membranoproliferative glomerulonephritis type I had quintuplet gestation after induced ovulation. Her serum creatinine level and estimated glomerular filtration rate were 0.86 mg/dL and 61.5 mL/min/1.73 m before pregnancy. Blood pressure was normal and urinary protein to creatinine ratio was 0.2 g/gCr. Prednisolone 10 mg on alternate-day administration was continued during pregnancy. At 10 weeks of gestation transvaginal selective embryo reduction was performed and five embryos were reduced to twins. Hypertension occurred at 20 weeks of gestation. She developed nephrotic syndrome and serum creatinine level increased to 1.29 mg/dL. Elective cesarean section was performed at 28 weeks of gestation and dichorionic diamniotic twins were born. After delivery blood pressure, serum creatinine level, estimated glomerular filtration rate and serum albumin level in their mother returned to baseline. Her twin infants were well at discharge from neonatal-intensive-care-unit. Incidence of multifetal pregnancies due to the improvement of assisted reproduction technologies and ovulation-inducing hormones has been increasing. Management for multifetal pregnancy in women with chronic kidney disease will be needed further.

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“…Although these two procedures differ considerably, both in terms of their implementation and in terms of pregnancy outcomes (2), for the purposes of this contribution we will refer generally to MPR without specifying the method by which it is performed. MPR dates back to the mid-1980s(3), when a number of specialised centres in the US and Europe began using it to decrease the risk of complications of higher-order multifetal pregnancies by reducing the number of fetuses.…”

Section: Introductionmentioning

confidence: 99%