Document Detail


Multifetal pregnancy reduction and selective termination: the Canadian experience.
MedLine Citation:
PMID:  10640877     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To describe the experience of two Canadian referral centres with multifetal pregnancy reduction (MFPR) and selective termination (ST). METHODS: Retrospective chart review of all MFPR and ST procedures during the periods from January 1, 1990, to December 31, 1997 (Vancouver), and from September 1, 1995, to December 31, 1997 (Toronto). Outstanding outcome data were obtained by telephone. All women were managed according to standard protocols. Non-parametric analysis of continuous variables and Fisher's exact test for categorical variables were used. RESULTS: 61 women underwent transabdominal MFPR (n = 44) or ST (n = 17). Median maternal age: MFPR and ST 33.0 years; gestational age at reduction: MFPR 11.4, ST 20.2 weeks; procedure duration: MFPR 4, ST 10 min. 89% MFPR and 12% ST cases followed assisted reproduction. 7% MFPR and 18% ST pregnancies lost <24 weeks (n.s.). 97% MFPR and 83% ST non-reduced fetuses delivered alive. Median delivery gestational age: MFPR and ST 37 weeks. CONCLUSIONS: The results are similar to published series. This procedure has increased options for Canadian couples, offering the procedure 'close to home', reducing costs and, more importantly, the significant psychological morbidity following these procedures.
Authors:
P von Dadelszen; J A Johnson; D F Farquharson; R D Wilson; P G Seaward
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Fetal diagnosis and therapy     Volume:  14     ISSN:  1015-3837     ISO Abbreviation:  Fetal. Diagn. Ther.     Publication Date:    1999 Nov-Dec
Date Detail:
Created Date:  2000-04-07     Completed Date:  2000-04-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9107463     Medline TA:  Fetal Diagn Ther     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  360-4     Citation Subset:  IM    
Copyright Information:
Copyright 1999 S. Karger AG, Basel
Affiliation:
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology and Fetal Diagnosis and Treatment Centre, University of Toronto, Ont., Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Canada
Female
Gestational Age
Humans
Pregnancy
Pregnancy Outcome
Pregnancy Reduction, Multifetal*
Pregnancy, Multiple*
Reproductive Techniques
Retrospective Studies

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


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