Document Detail


Use of the lambda sign in fetal reduction of dizygotic triplets after intracytoplasmic sperm injection.
MedLine Citation:
PMID:  12350034     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
With the increased use of artificial reproductive technologies, there are ever greater numbers of multifetal pregnancies. The increased incidences of monozygotic twins and triplet gestations can be attributed to several factors. It is important to differentiate the chorionicity in the management of multifetal pregnancies because monochorionic gestations lead to an increased risk of prematurity, twin-to-twin transfusion, morbidity, and mortality. In a dizygotic triplet pregnancy, increased risks of obstetric complications result from the monozygotic twins, such as twin-to-twin transfusion, as well as from the presence of triplets. Fetal reduction can lower these risks. During the first trimester, a "lambda sign" on ultrasound can differentiate between monozygotic twins and a separate fetus. In this paper, we present selective fetal reduction of 1 of the monozygotic twins in order to reduce the risks resulting from either monozygotic twins or from triplets. By sacrificing 1 monozygotic twin, we believe the quality of life of the remaining babies in this case were improved.
Authors:
Shang-Gwo Horng; An-Shine Chao; Hsin-Shih Wang; Yoong-Kuei Soong
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chang Gung medical journal     Volume:  25     ISSN:  2072-0939     ISO Abbreviation:  Chang Gung Med J     Publication Date:  2002 Jul 
Date Detail:
Created Date:  2002-09-27     Completed Date:  2002-10-11     Revised Date:  2008-12-16    
Medline Journal Info:
Nlm Unique ID:  101088034     Medline TA:  Chang Gung Med J     Country:  China (Republic: 1949- )    
Other Details:
Languages:  eng     Pagination:  469-73     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC. hsg@cgmh.org.tw
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Male
Pregnancy
Pregnancy Reduction, Multifetal / methods*
Sperm Injections, Intracytoplasmic*
Twins, Monozygotic
Ultrasonography, Prenatal*

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


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