Multifetal Pregnancy Reduction

Vatsla Dadhwal; Kavita Khoiwal

doi:10.1007/s40556-017-0137-z

Journal of Fetal Medicine, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Journal of Fetal Medicine 2017; 04(04): 193-198
DOI: 10.1007/s40556-017-0137-z

Review Article

Multifetal Pregnancy Reduction

Vatsla Dadhwal

¹Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Ansari Nagar, 110029, New Delhi, India

,

Kavita Khoiwal

¹Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Ansari Nagar, 110029, New Delhi, India

› Institutsangaben

Abstract

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Abstract

Multifetal pregnancy increases maternal, fetal and neonatal complications, most important being preterm delivery and complications of prematurity. Fetal reduction is a procedure for reducing the number of fetuses to a more manageable number. Reduction of triplet or higher order pregnancy is acceptable and the ending number is usually two. Fetal reduction reduces the risk of preterm delivery. Intracardiac/intrathoracic KCl is used for fetal reduction in multichorionic pregnancy. This is not a viable option in monochorionic pregnancy, where vaso-occlusive methods are used.

Keywords

Multiple pregnancy - Fetal reduction - Selective termination - Monochorionic

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