Selective reduction after gamete intrafallopian transfer

Vlaisavljević, Veljko; Borko, E

doi:10.1016/0020-7292(91)90180-d

Cited by 1 publication

(1 citation statement)

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“…To date the most commonly used techniques for fetal reduction in the first trimester are the transvaginal or transabdominal injection of KC1 or normal saline [1,[14][15][16][17][18][19][20][21][22], The risk of pregnancy loss after reduction is in the range of 11-35% [9,15,16,23] and probably decreases with time and experience [15,23], Postoperative com plications include uterine bleeding, contrac tions, leakage of amniotic fluid or rupture of the membranes as well as infection leading to septic abortion [13,21]. There have been no reports on coagulopathies among patients un dergoing fetal reduction [21,24], Technical failure is a major problem be cause of the risk of insult to the brain, heart and other fetal organs caused by hypoxia or mechanical injury. It is strongly recom mended that, whenever a reduction attempt fails, the attempt should be repeated until the objectives have been achieved.…”

Section: Introductionmentioning

confidence: 99%

Multifetal Pregnancy Reduction: Is It Always Justified?

Benshushan¹,

Lewin²,

Schenker³

1993

Fetal Diagn Ther

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In the present study we summarized the world literature on first trimester multifetal pregnancy reduction between 1985 and 1992 and added our own experience. Our aim was to reach a comprehensive view on the survival rate of reduced high multifetal pregancies, as the data in various studies are somewhat confusing, possibly as a result of the small number of cases. The data so gathered were classified by the number of fetuses. Of 94 triplet pregnancies reduced to twins 91.6% survived. Of 108 quadruplet pregnancies reduced to twins 92.6% survived. Of 40 quintuplet pregnancies 72.5% survived, and of 93 septuplets or more 87.1% survived. The outcome of pregnancies reduced to triplets did not differ from the outcome of pregnancies reduced to twins, with a survival rate of 85.7 and 72.5%, respectively. In our opinion, in view of the infertility history of many of these patients, the risk of pregnancy loss, the high survival rate of triplets and fetal reduction in triplet pregnancies in this group of patients may be unjustified. Accordingly, our policy in cases where the patients demand or when reduction is done early in pregnancy to reduce the triplets.

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