Document Detail


Does multi-fetal pregnancy reduction adversely influence intra-uterine growth?
MedLine Citation:
PMID:  23278279     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Multi-fetal pregnancy reduction (MFPR) is offered in the management of higher-order multiple gestations to reduce the risks associated with such pregnancies. Pregnancy outcomes, including birthweight, following MFPR have been examined with variable findings. However, little attention has been paid to in-utero growth in such pregnancies. This study examines whether the intra-uterine growth performance of a twin pregnancy resulting from MFPR differs from that of an un-reduced twin pregnancy.This was a retrospective analysis comparing the intrauterine growth of 20 higher order multiple pregnancies that underwent MFPR with resulting di-chorionic twin gestations with 293 unreduced di-chorionic twin gestations. Biometric nomograms were derived for the unreduced twin population and the biometric parameters for the reduced pregnancies were compared against these. A difference observed was with respect to femur length in the period 20-28 weeks (p=0.003) but no other significant differences were observed. MFPR does not itself adversely influence intra-uterine fetal growth. © 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica © 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
Authors:
Richard Brown; Alon Shrim; Angela Mallozzi
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-26
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  -     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2013-1-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica © 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
Affiliation:
Department of Maternal Fetal Medicine, McGill University, Montreal, Canada.
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