Document Detail

Effects of selective reduction in triplet gestation: a comparative study of 80 cases managed with or without this procedure.
MedLine Citation:
PMID:  8375533     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the effect of selective termination in triplet pregnancies. DESIGN: Comparative, prospective, nonrandomized study. SETTING: All 80 pregnancies were managed in a single tertiary center by the same obstetrical team. PATIENTS: Eighty women with triplet pregnancies were divided into two groups: group I consisted of 48 women who wished to continue their pregnancies without reduction; in group II were 32 women who choose reduction generally to obtain twins. INTERVENTIONS: Selective terminations were performed after an average term of 9.6 weeks of gestation by transcervical or transabdominal approaches. MAIN OUTCOME MEASUREMENTS: The rate of miscarriage and prematurity, fetal growth, perinatal morbidity and mortality, and maternal complications in the two groups. RESULTS: Prematurity was lower in reduced pregnancies (95.5% in triplets versus 53.5%), especially between 24 to 32 weeks' gestation where prematurity was reduced by half. Birth weight was > 450 g higher in the reduced group. The perinatal mortality rate was lower for reduced pregnancies, but this difference was not statistically significant. Five life-threatening maternal complications occurred in triplets, with none in the reduced group. CONCLUSIONS: Selective terminations are effective in decreasing the rate of prematurity, improving fetal growth, and avoiding maternal complications. The procedure thus could be used in triplet gestations. The ultimate decision should be taken by the couple who must be well informed of the risks of the procedure before deciding.
P Boulot; B Hedon; G Pelliccia; P Peray; F Laffargue; J L Viala
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  60     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  1993 Sep 
Date Detail:
Created Date:  1993-10-19     Completed Date:  1993-10-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  497-503     Citation Subset:  IM    
Centres Hospitaliers et Universitaires de l'Université de Montpellier-Nîmes, France.
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MeSH Terms
Abortion, Induced*
Fetal Death
Follow-Up Studies
Hypertension / etiology
Infant, Newborn
Infant, Premature
Labor, Obstetric
Pregnancy Complications, Cardiovascular
Pregnancy Outcome
Pregnancy, Multiple*
Prospective Studies
Puerperal Disorders / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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