Document Detail

Decision making in multifetal pregnancy reduction for triplets.
MedLine Citation:
PMID:  9475691     Owner:  NLM     Status:  MEDLINE    
The objective of this article is to examine the literature that forms the basis for counseling couples with higher order multiple gestation with regard to multifetal pregnancy reduction and present the data on expectant management of multiple gestations and multiple gestations managed with multifetal pregnancy reduction. The data sources for this article are computer-assisted search of the literature. Eighty-three articles, mainly published after 1989, and reporting on the natural history, management, and outcome of multifetal pregnancies, were reviewed. We analyze and present the data on expectant management of multiple gestations and multiple gestations managed with reduction to twins and then use the hypothetical patient-oriented questions listed below to organize the data. There is a general consensus that reducing triplets to twins results in significant secondary benefits: lower cost and fewer days in hospital and a decrease in a variety of moderate morbidities associated with prolonged hospitalizations and preterm delivery for mother and baby. However, it is not clear that couples are more likely to take home a healthy baby, if they undergo multifetal pregnancy reduction.
I Souter; T M Goodwin
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American journal of perinatology     Volume:  15     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  1998 Jan 
Date Detail:
Created Date:  1998-04-09     Completed Date:  1998-04-09     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  63-71     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, USA.
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MeSH Terms
Decision Making / physiology*
Infant, Newborn
Pregnancy Outcome
Pregnancy Reduction, Multifetal / psychology*
Pregnancy, Multiple / physiology,  psychology*
Triplets / psychology*

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