ABSTRACT
Aims
Multiple pregnancies are associated with higher maternal and perinatal morbidity and mortality. Multifetal pregnancy reduction is an accepted method to reduce the morbidity associated with higher order multiples. The present study describes the perinatal outcome of 336 pregnancies which underwent multifetal reduction in our center.
Materials and methods
This is a retrospective descriptive study of all patients who underwent multifetal pregnancy reduction during the period from September 1, 2010 to August 31, 2011. The demographic details of the patients were extracted from the Sonocare software database. Fetal reductions were performed using standard protocols after a detailed structural evaluation including nuchal translucency. The perinatal outcome was obtained from hospital records or from patients over telephone.
Results
Of the total 336 pregnancies, 21% were lost to follow-up. The remaining 265 were analyzed for the perinatal outcome. The take home baby rate was 80.2%. Total fetal loss rate was 11.6% and partial pregnancy loss rate was 3.8%. Mean gestational age at delivery was 34.7 weeks. A total of 22.1% of women delivered at term. A total of 34.5% of the patients had late preterm delivery (35—37 weeks). The mean birth weight was 2002 gm.
Conclusion
The data shows that the outcomes of multifetal pregnancy reduction in India are similar to published data from other countries, with a good perinatal outcome in over 80% cases. However, the data also points to the urgent need for stringent guidelines for ovulation induction and embryo transfer to reduce the requirement for and number of these procedures in the future.
How to cite this article
Latha PM, Andrew C, Suresh I, Seshadri S. Perinatal Outcome after Multifetal Pregnancy Reduction: A Retrospective Analysis of 1-year Data in a Referral Fetal Medicine Center. J South Asian Feder Obst Gynae 2016;8(4):266-270.
Comparative analysis of perinatal outcome of spontaneous pregnancy reduction and multifetal pregnancy reduction in triplet pregnancies conceived after assisted reproductive technique
