The effectiveness of multifetal pregnancy reduction in trichorionic triplet gestation

Perinatal outcomes in multifetal pregnancy following fetal reduction

“…2,22,23 Rates of perinatal death in our study population were consistent with those in studies that reported a decrease in perinatal mortality after fetal reduction in triplet pregnancy from 11% to 6%, 24,25 with triplet pregnancies reduced to twins doing almost as well as unreduced twin pregnancies. Nevertheless, clinicians counselling women with multifetal pregnancy should be aware of the potential for substantial parental stress resulting from fetal reduction procedures, including negative feelings such as guilt, regret and grief.…”

Outcomes in twin pregnancies reduced to singleton pregnancies compared with ongoing twin pregnancies

“…[1][2][3] With improvements in infertility treatments, the number of triplet and higher-order pregnancies has dropped 9% from 2011 to 2012 and more than a third since its peak in 1998. 4 Twin births, however, have remained stable over the last several years.…”

Outcome of Multifetal Pregnancy Reduction in Women with a Dichorionic Triamniotic Triplet Pregnancy to a Singleton Pregnancy: A Retrospective Nationwide Cohort Study

“…In a previous study on MFPR in women with a trichorionic triplet pregnancy, we showed that MFPR to a twin can prolong pregnancy by 3 weeks, but with limited impact on neonatal survival [5]. In case of a triplet pregnancy with a monochorionic twin and a singleton alongside, the woman is exposed to the risks of both a triplet pregnancy, such as (very) preterm birth (PTB) and selective growth restriction, as well as the risks of a monochorionic multiple pregnancy, such as twin-to-twin transfusion syndrome (TTTS), twin anaemia-polycythaemia sequence (TAPS) and selective intrauterine growth restriction [6].…”