VP22.16: Multifetal pregnancy reduction in Nepal: an initial experience

Acharya, Rajesh; Kayastha, Rumita

doi:10.1002/uog.22687

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“…We could find only two manuscripts. Acharya et al 33 . were the first to share their experience of fetal reduction in the country.…”

Section: Discussionmentioning

confidence: 99%

Trans-abdominal fetal reduction in higher order multiple pregnancies: a pioneer cohort retrospective study in Nepal

Paudel,

Dahal,

Pant

et al. 2024

Annals of Medicine &Amp; Surgery

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Objective: To share initial experience of transabdominal multifetal pregnancy reduction (MFPR) in Nepal. Method: The procedure was performed in 108 patients in a private hospital over a period of 3 years. Under ultrasound guidance, intracardiac injection of 0.2 to 3.0 ml of 15% w/v (2 mEq/mL) potassium chloride (KCl) was administered via transabdominal route. Results: A total of 108 fetal reduction procedures were carried out at the seventh to fifteenth weeks of gestation, a maximum of 44 (40.7%) of which were done at the ninth to tenth weeks of gestation. A total of 123 fetuses were reduced. Out of total 108 multifetal pregnancies, 96 (88.8%) were due to In Vitro fertilization (IVF). 85 pregnancies (78.7%) underwent reduction from triplet to twin. The second-time reduction was needed in 5 cases. Two attempts (in the same sitting) were required in 3 cases. Inadvertent demise of the second fetus was noted in 3 cases of dichorionic triamniotic triplet pregnancy. Conclusion: Ultrasound-guided transabdominal fetal reduction performed between the seventh and twelfth weeks of gestation is safe and effective.

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“…We could find only two manuscripts. Acharya et al 33 . were the first to share their experience of fetal reduction in the country.…”

Section: Discussionmentioning

confidence: 99%

Trans-abdominal fetal reduction in higher order multiple pregnancies: a pioneer cohort retrospective study in Nepal

Paudel,

Dahal,

Pant

et al. 2024

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

show abstract

VP22.16: Multifetal pregnancy reduction in Nepal: an initial experience

Abstract: VP22.14: Table 1. FR group Median GA at FR (range) n (%) Total unintended loss <24w IUFD >24w Livebirth <32w Livebirth <37w Livebirth >37w Median GA at birth (IQR) < GA 14+0 13.1 (11.0, 13.9)

Cited by 1 publication

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Trans-abdominal fetal reduction in higher order multiple pregnancies: a pioneer cohort retrospective study in Nepal

Trans-abdominal fetal reduction in higher order multiple pregnancies: a pioneer cohort retrospective study in Nepal

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