| Selective reduction in multiple gestations: pregnancy outcome after transvaginal and transabdominal needle-guided procedures. | |
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MedLine Citation:
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PMID: 2776895 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Selective fetal reduction was performed in the first trimester of pregnancy in 20 women with multifetal gestations after ovulation induction with human menopausal gonadotropin (hMG). In 10 women (group A) reduction was performed transabdominally, and in 10 women (group B) the transvaginal approach was used. The transvaginal technique achieved penetration of several gestational sacs without withdrawing the needle from the uterus. Fetal termination using either procedure occurred with intrafetal injection of potassium chloride. Six (60%, group A) and eight (80%, group B) patients delivered healthy newborns. One patient (group B) is at 30 weeks' gestation. Four (40%, group A) and one (10%, group B) aborted 1 day to 8 weeks after the procedure (1 septic abortion, each group). Our results suggest that transvaginal fetal reduction offers a better outcome, with minimal complications, to patients referred for selective continuation of pregnancy. |
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Authors:
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J Shalev; Y Frenkel; M Goldenberg; E Shalev; S Lipitz; G Barkai; L Nebel; S Mashiach |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Fertility and sterility Volume: 52 ISSN: 0015-0282 ISO Abbreviation: Fertil. Steril. Publication Date: 1989 Sep |
Date Detail:
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Created Date: 1989-10-19 Completed Date: 1989-10-19 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 416-20 Citation Subset: IM; J |
Affiliation:
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Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdomen Abortion, Induced / methods* Adult Female Gestational Age Humans Pregnancy Pregnancy, Multiple* Vagina |
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