Document Detail


Second-trimester multifetal pregnancy reduction facilitates prenatal diagnosis before the procedure.
MedLine Citation:
PMID:  10689003     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the pregnancy outcome of selective second-trimester multifetal pregnancy reduction (MFPR) compared to first-trimester MFPR. DESIGN: Cohort analysis. SETTING: In Vitro Fertilization Unit, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. PATIENT(s): The study groups comprised 38 and 70 patients who underwent selective second-trimester MFPR (group 1) and first-trimester MFPR (group 2) at mean gestational ages of 19.7 +/- 3.3 weeks and 11.7 +/- 0.7 weeks, respectively. INTERVENTION(s): Ultrasonographically guided intracardiac injection of potassium chloride (KCl) solution. MAIN OUTCOME MEASURE(s): Pregnancy outcome and obstetric complications. RESULT(s): No statistically significant difference was found between group 1 and group 2 regarding mean gestational age at delivery (35.4 +/- 3.4 weeks and 35.9 +/- 3.1 weeks, respectively); mean birth weight (2,318.9 +/- 565.7 g and 2, 138.1 +/- 529.4 g); and the incidence of obstetric complications. These complications included pregnancy loss (5.2% and 15.7%), pregnancy-induced hypertension (0 and 10%), discordancy (12% and 18. 4%), intrauterine growth restriction (0 and 40%), and gestational diabetes (0% and 6%). However, the rate of all pregnancy complications was lower among second-trimester MFPR patients. CONCLUSION(s): Selective second-trimester MFPR is associated with favorable perinatal outcome and may facilitate detection of structural and chromosomal anomalies before the procedure and selective reduction of the affected fetus.
Authors:
E Geva; G Fait; I Yovel; L Lerner-Geva; Y Yaron; Y Daniel; A Amit; J B Lessing
Related Documents :
16147843 - Failure of selective termination and dexamethasone rescue therapy to arrest hellp syndr...
17569193 - Acog committee opinion. number 369. june 2007. multifetal pregnancy reduction.
2352233 - Pregnancy outcome in women with müllerian duct anomalies.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  73     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-03-23     Completed Date:  2000-03-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  505-8     Citation Subset:  IM    
Affiliation:
Lis Maternity Hospital, Tel Aviv Sourasky Medical Center; The Chaim Sheba Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel. gevae@obgyn.ucsf.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Birth Weight
Cohort Studies
Diabetes, Gestational
Female
Fetal Death / epidemiology
Humans
Hypertension
Pregnancy
Pregnancy Complications, Cardiovascular
Pregnancy Outcome
Pregnancy Reduction, Multifetal* / statistics & numerical data
Pregnancy Trimester, First
Pregnancy Trimester, Second
Pregnancy, Multiple* / statistics & numerical data
Prenatal Diagnosis*

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


Previous Document:  Comparison of serum progesterone as an indicator of pregnancy nonviability in spontaneously pregnant...
Next Document:  No association between body mass index and beta(3)-adrenergic receptor variant (W64R) in children wi...