Faculty Opinions recommendation of Selective reduction and termination of multiple pregnancies.

2010 ◽  
Author(s):  
John Svigos
Keyword(s):  
Selective Reduction ◽  
Multiple Pregnancies

scholarly journals Radiofrequency ablation for selective reduction in complex monochorionic multiple pregnancies: A case series

2017 ◽  
Vol 56 (6) ◽  
pp. 740-744 ◽  
Author(s):  
Hong-Mei Wang ◽  
Hong-Yan Li ◽  
Xie-Tong Wang ◽  
Yan-Yun Wang ◽  
Lei Li ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Case Series ◽  
Selective Reduction ◽  
Multiple Pregnancies

MANAGEMENT CONUNDRUMS IN MULTIPLE PREGNANCIES WITH SELECTIVE REDUCTION, INTRAUTERINE FETAL DEATH OR SPONTANEOUS ABORTION

2009 ◽  
Vol 20 (3) ◽  
pp. 247-267
Author(s):  
RITU MOGRA ◽  
DAVID LH MOORE ◽  
JON A HYETT
Keyword(s):  
Perinatal Mortality ◽  
Fetal Death ◽  
Selective Reduction ◽  
Fold Increase ◽  
Mortality Rates ◽  
Intrauterine Fetal Death ◽  
Multiple Pregnancies ◽  
Delayed Childbearing ◽  
Reproductive Techniques ◽  
The Uk

There has been a marked increase in the prevalence of twins, triplets and higher-order multiple pregnancies over the last 20 years due, in part, to delayed childbearing, but more significantly associated with the widespread introduction of assisted reproductive techniques. Once viability is confirmed these pregnancies pose a series of unique challenges to the obstetrician as the dynamic of the maternal – fetal relationship changes when there are two, or more, fetuses to consider. With the exception of postmaturity, all obstetric complications are more common in multiple pregnancies. Australian data shows perinatal mortality rates of 7, 25 and 63 per 1,000 births for singleton, twin (RR 3.4) and triplet (RR 8.5) pregnancies respectively; with similar rates reported in the UK and USA. While multiple pregnancies account for only 2% of births, they account for 20% of neonatal admissions and 12% of perinatal deaths – with a 5-fold increase in deaths before 1 year of age.

Transvaginal embryo aspiration—a safe method for selective reduction in multiple pregnancies

1992 ◽  
Vol 58 (2) ◽  
pp. 351-355 ◽  
Author(s):  
Joseph Itskovitz-Eldor ◽  
Arie Drugan ◽  
Jacob Levron ◽  
Israel Thaler ◽  
Joseph M. Brandes
Keyword(s):  
Selective Reduction ◽  
Multiple Pregnancies ◽  
Safe Method

scholarly journals OP05.14: Interstitial intrafetal laser for selective and non-selective reduction in complicated monochorionic multiple pregnancies

2006 ◽  
Vol 28 (4) ◽  
pp. 452-453
Author(s):  
L. Pasquini ◽  
O. Barigye ◽  
L. C. Chappell ◽  
T. Vanderheyden ◽  
P. Galea ◽  
...  
Keyword(s):  
Selective Reduction ◽  
Multiple Pregnancies

scholarly journals A rare case of triplet pregnancy with three different fates of each conceptus

2017 ◽  
Vol 11 (2) ◽  
pp. 56-58
Author(s):  
Sayanti Paul ◽  
S Mandal ◽  
M Upadhyaya ◽  
SR Pramanik
Keyword(s):  
Rare Case ◽  
Intrauterine Insemination ◽  
Selective Reduction ◽  
Controlled Ovarian Hyperstimulation ◽  
Infertility Treatment ◽  
Multiple Pregnancies ◽  
Triplet Pregnancy ◽  
Singleton Pregnancy ◽  
Spontaneous Reduction ◽  
Live Baby

Rate and number of multifetal gestations have increased dramatically largely due to infertility therapy. A number of pregnancies are multifetal to start with followed by spontaneous reduction of one or more embryos. The final outcomes of such pregnancies vary in relation to zygosity, chorionicity and gestational age. In this case report we present a triplet pregnancy resulting from controlled ovarian hyperstimulation followed by intrauterine-insemination in a primarily infertile patient and how it ended up into a singleton pregnancy with no conscious attempts at selective reduction or selective termination. While fighting with problem of multiple pregnancies which comes along with the widespread infertility treatment nature has its own miraculous way to get rid of such. Little patience and watchful expectancy from the part of obstetrician can achieve a healthy live baby without inadvertent complication.

Selective reduction in twins and multiple pregnancies

2011 ◽  
Vol 39 (1) ◽  
Author(s):  
Aris Antsaklis ◽  
Eleftherios Anastasakis
Keyword(s):  
Selective Reduction ◽  
Multiple Pregnancies

Radiofrequency Ablation for Selective Reduction in Complicated Monochorionic Multiple Pregnancies

2013 ◽  
Vol 34 (4) ◽  
pp. 211-216 ◽  
Author(s):  
Jing Lu ◽  
Yuen Ha Ting ◽  
Kwok Ming Law ◽  
Tze Kin Lau ◽  
Tak Yeung Leung
Keyword(s):  
Radiofrequency Ablation ◽  
Selective Reduction ◽  
Multiple Pregnancies

scholarly journals A cohort study of the perinatal outcome of radiofrequency ablation in complicated monochorionic multiple pregnancies based on a different needle insert angle

2021 ◽  
Vol 49 (5) ◽  
pp. 030006052110184
Author(s):  
Qian Liu ◽  
Xiaomei Shi ◽  
Liyuan Fang ◽  
Tengzi Rao ◽  
Lishuang Shi ◽  
...  
Keyword(s):  
Cohort Study ◽  
Radiofrequency Ablation ◽  
Gestational Age ◽  
Cox Model ◽  
Selective Reduction ◽  
Needle Insertion ◽  
Multiple Pregnancies ◽  
Historical Cohort ◽  
Fetal Survival ◽  
Insertion Angle

Objective To compare the pregnancy outcomes of radiofrequency ablation (RFA) for complicated multiple pregnancies between fetal abdominal and dorsal needle insertion angles. Methods We performed a historical cohort study of patients who underwent selective reduction using RFA through different needle insertion angles from 2015 to 2018 at a local hospital. Dorsal needle insertion cases were consecutively selected and abdominal needle insertion cases were selectively enrolled. The Cox proportional hazards model was constructed to identify predictors of fetal survival time with different needle insertion angles. Results The RFA procedure was performed in 28 women through an abdominal insertion angle and in 28 women through a dorsal insertion angle. There were no significant differences in perinatal outcomes between the two groups. The overall live birth rate after RFA in the two groups was 73.5% and the mean gestation was 31.6 ± 6.5 weeks. The Cox model showed that gestational age at RFA was a predictor of the duration of the period between RFA and delivery. Conclusion RFA conducted through the dorsal insertion angle is technically feasible for selective reduction in complex monochorionic multiple pregnancies. Gestational age at this procedure is an independent risk factor for the duration of pregnancy post-RFA.

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