Document Detail

Improved techniques for first-trimester fetal reduction using simultaneous abdominal and transvaginal ultrasonographic guidance. Preliminary report.
MedLine Citation:
PMID:  7789907     Owner:  NLM     Status:  MEDLINE    
Simultaneous transabdominal injection of potassium chloride (KCl) assisted by transvaginal ultrasonographic guidance was evaluated in 5 patients who conceived due to various assisted reproductive techniques and ovarian stimulation. All 5 underwent first-trimester fetal reduction for multiplicity of high-order pregnancies. Four sets of triplets were reduced to twin, and 1 twin pregnancy was reduced to a singleton. Less than 2 ml of 2 mEq/ml KCl per fetus was needed for each case. No fetal or maternal complications nor technical failure attributable to the procedure were recorded. All pregnancies were delivered > or = 35 weeks of gestation. Transabdominal fetal reduction using simultaneous transvaginal ultrasonographic guidance for selective feticide combines the benefits of both the transabdominal and transvaginal approaches, mainly in selected cases in which some experts prefer the abdominal route, but find it technically difficult to practice. Further experience is needed to confirm our encouraging preliminary results before drawing any definitive conclusions.
A Herman; R Maymon; R Ron-el; R Halperin; S Ariely; I Bukovsky; Z Weinraub
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gynecologic and obstetric investigation     Volume:  39     ISSN:  0378-7346     ISO Abbreviation:  Gynecol. Obstet. Invest.     Publication Date:  1995  
Date Detail:
Created Date:  1995-07-27     Completed Date:  1995-07-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7900587     Medline TA:  Gynecol Obstet Invest     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  145-8     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Assaf Harofeh Medical Center, Tzrifin, Israel.
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MeSH Terms
Menotropins / therapeutic use
Potassium Chloride / administration & dosage*
Pregnancy Reduction, Multifetal / methods*
Pregnancy Trimester, First
Reproductive Techniques
Ultrasonography, Prenatal*
Reg. No./Substance:
61489-71-2/Menotropins; 7447-40-7/Potassium Chloride

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