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Titolo:
First-trimester multifetal pregnancy reduction: Evaluation of technical aspects and risks from 2,756 cases in the literature
Autore:
Dechaud, H; Picot, MC; Hedon, B; Boulot, P;
Indirizzi:
Arnaudontpelliereuve Hosp, Dept Obstet & Gynecol, Fetal Med Unit, F-34295 M Arnaud de Villeneuve Hosp Montpellier France 5 Fetal Med Unit, F-34295 M
Titolo Testata:
FETAL DIAGNOSIS AND THERAPY
fascicolo: 5, volume: 13, anno: 1998,
pagine: 261 - 265
SICI:
1015-3837(199809/10)13:5<261:FMPREO>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
SELECTIVE REDUCTION; MULTIPLE PREGNANCY; EMBRYO REDUCTION; COLLABORATIVE EXPERIENCE; TRIPLET PREGNANCIES; 1ST TRIMESTER; TWINS; TERMINATION; ASPIRATION; GESTATIONS;
Keywords:
first-trimester multifetal pregnancy reduction; fetal loss rate; transabdominal procedure; transcervical procedure; transvaginal procedure;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Dechaud, H ArnaudoyenVilleneuve Hosp, Dept Obstet & Gynecol, Fetal Med Unit, 371 Ave D Arnaud de Villeneuve Hosp 371 Ave Doyen Gaston Giraud Montpellier France 5
Citazione:
H. Dechaud et al., "First-trimester multifetal pregnancy reduction: Evaluation of technical aspects and risks from 2,756 cases in the literature", FETAL DIAGN, 13(5), 1998, pp. 261-265

Abstract

Objective: To evaluate the technical aspects, efficacy and safety of first-trimester multifetal pregnancy reduction in the management of multifetal pregnancies, an analysis of the international literature on first-trimester multifetal pregnancy reduction was made. Materials: Thirty-three studies were selected from an international review of the literature. Total fetal loss rate, risk of fetal loss after the procedure with the different techniques and gestational age at delivery were the main parameters studied. The Kruskal-Wallis test and Mann-Whitney test were used for statistical analysis. Results: 2,756 multifetal pregnancy reductions were performed (2,145 transabdominal, 363 transcervical, and 248 transvaginal procedures). Total fetal loss rates were different: 16.7% for the transabdominal, 24.8% for the transcervical and 10.9% for the transvaginal procedure (p = 0.03). The risk of fetal loss was 12% for the transabdominal, 20% for the transcervical, and 10% for the transvaginal approach at less 24 weeks of gestation (p = 0.04). There was no difference for the gestational age at the time of the procedure, the initial and final number of embryos, and the gestational age at delivery. Conclusion: Because the transvaginal approach seems to be the safer procedure, surgeons may opt for it. The transcervical approach has a high fetal loss rate and should be excluded.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/10/20 alle ore 05:06:28