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Titolo:
Multifetal pregnancy reduction: modification of the technique and analysisof the outcome
Autore:
Mansour, RT; Aboulghar, MA; Serour, GI; Sattar, MA; Kamal, A; Amin, YM;
Indirizzi:
Egyptian IVF ET Ctr, Cairo, Egypt Egyptian IVF ET Ctr Cairo EgyptEgyptian IVF ET Ctr, Cairo, Egypt
Titolo Testata:
FERTILITY AND STERILITY
fascicolo: 2, volume: 71, anno: 1999,
pagine: 380 - 384
SICI:
0015-0282(199902)71:2<380:MPRMOT>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
SELECTIVE REDUCTION; TWINS;
Keywords:
multifetal embryo reduction; reduced twins; multiple pregnancy; triplets; quadruplets; twins; embryo selection; selective embryo reduction;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Mansour, RT Egyptian IVF ET Ctr, 3-B Rd,161 Hadayek El Maadi, Cairo, EgyptEgyptian IVF ET Ctr 3-B Rd,161 Hadayek El Maadi Cairo Egypt
Citazione:
R.T. Mansour et al., "Multifetal pregnancy reduction: modification of the technique and analysisof the outcome", FERT STERIL, 71(2), 1999, pp. 380-384

Abstract

Objective: To modify the technique of multifetal pregnancy reduction and to study the outcome of reduced twins in comparison with nonreduced twins and high-order multiple gestations. Design: Prospective controlled study. Setting: The Egyptian IVF-ET Center. Cairo. Patient(s): Seventy-five patients with high-order multiple pregnancies resulting from assisted reproduction. Controls were 40 nonreduced twin pregnancies and 22 high-order multiple gestations. Intervention(s): Transvaginal ultrasonically guided multifetal pregnancy reduction was performed. The first 30 cases were done using KCl as a cardiotoxic agent. The modified technique was used for the last 45 cases at an earlier gestational age (approximately 7 weeks) by eliminating the use of KCl and by aspirating the embryonic parts. Main Outcome Measure(s): Miscarriage rate, gestational age at delivery, birth weight, and pregnancy complications. Result(s): Using the modified technique, the miscarriage rate was 8.8% and41 patients delivered between 32 and 39 weeks of gestation (mean +/- SD, 36.9 +/- 2.45 weeks). The mean (+/- SD) birth weight was 2,450.51 +/- 235.44g. The miscarriage rate, fetal wastage rate, mean gestational age, rind mean birth weight were similar in reduced and nonreduced twins and were significantly better than in nonreduced triplets and quadruplets. Conclusion(s): The modified technique of multifetal pregnancy reduction significantly improved outcomes, which were similar to those of nonreduced twins resulting from assisted reproduction and significantly better than those of nonreduced triplets and quadruplets. (Fertil Steril(R) 1999:71:380-4. (C) 1999 by American Society for Reproductive Medicine.)

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 00:08:54