Document Detail


The physical and mental development of co-sibs surviving selective reduction of multifetal pregnancies.
MedLine Citation:
PMID:  2081796     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fetal reduction in humans is still controversial and considered exploratory. The medical, legal and ethical issues involved have been widely discussed, yet, the long term effects on the surviving co-sibs have not been documented. We report on the psychomotor and physical development of seven children born following fetal reduction in three women, initially bearing 13 fetuses altogether. To these children we matched controls for birth weight, gestational age, sex, mode of delivery, parity, age at examination and mother's age and education. The children's age at evaluation varied between 12.5 and 38 months. It was found that the mental and physical indices of these children did not differ from their matched controls. It is our belief that reduction of pregnancies of high fetal order into pregnancies of low fetal order is medically acceptable.
Fetal reduction in humans is still controversial and considered exploratory. The medical, legal, and ethical issues involved have been widely discusses; however, the longterm effects on the surviving cosiblings have not been documented. The authors report on the psychomotor and physical development of 7 children born following fetal reduction in 3 women, initially bearing 13 fetuses together. To these children, the authors matched controls for birthweight, gestational age, sex, mode of delivery, parity, age at examination, and maternal age and education. The children's age at evaluation varied between 12.5 and 38 months. It was found that the mental and physical indices of these children did not differ from their matched controls. It is the authors' belief that reduction of pregnancies of high fetal order into pregnancies of low fetal order is medically acceptable.
Authors:
J M Brandes; J Itskovitz; A Scher; R Gershoni-Baruch
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Human reproduction (Oxford, England)     Volume:  5     ISSN:  0268-1161     ISO Abbreviation:  Hum. Reprod.     Publication Date:  1990 Nov 
Date Detail:
Created Date:  1991-05-09     Completed Date:  1991-05-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8701199     Medline TA:  Hum Reprod     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1014-7     Citation Subset:  IM; J    
Affiliation:
Department of Obstetrics Gynecology, Rambam Medical Centre, Faculty of Medicine, Technion and Rappaport Institute of Medical Research, Haifa, Israel.
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MeSH Terms
Descriptor/Qualifier:
Abortion, Incomplete*
Abortion, Therapeutic*
Adult
Apgar Score
Birth Weight
Body Height
Body Weight
Case-Control Studies
Child, Preschool
Female
Follow-Up Studies
Head / anatomy & histology
Humans
Infant
Infant, Newborn
Intelligence
Male
Pregnancy
Psychomotor Performance

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


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