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Titolo:
Obstetric outcome and psychological follow-up of pregnancies after embryo reduction
Autore:
Bergh, C; Moller, A; Nilsson, L; Wikland, M;
Indirizzi:
Gothenburg Univ, Dept Obstet & Gynaecol, Sahlgrenska Hosp, S-41345 Gothenburg, Sweden Gothenburg Univ Gothenburg Sweden S-41345 sp, S-41345 Gothenburg, Sweden Carlanderska Hosp, Fertil Ctr, Gothenburg, Sweden Carlanderska Hosp Gothenburg Sweden osp, Fertil Ctr, Gothenburg, Sweden
Titolo Testata:
HUMAN REPRODUCTION
fascicolo: 8, volume: 14, anno: 1999,
pagine: 2170 - 2175
SICI:
0268-1161(199908)14:8<2170:OOAPFO>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
SELECTIVE REDUCTION; MULTIFETAL PREGNANCIES; TWIN GESTATIONS; TRIMESTER; TRIPLETS;
Keywords:
embryo reduction; multifetal pregnancy; psychological follow-up;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
32
Recensione:
Indirizzi per estratti:
Indirizzo: Bergh, C Gothenburg Univ, Dept Obstet & Gynaecol, Sahlgrenska Hosp, S-41345 Gothenburg, Sweden Gothenburg Univ Gothenburg Sweden S-41345 45 Gothenburg, Sweden
Citazione:
C. Bergh et al., "Obstetric outcome and psychological follow-up of pregnancies after embryo reduction", HUM REPR, 14(8), 1999, pp. 2170-2175

Abstract

The obstetric outcome and psychological follow-up of the parents after embryo reduction performed at Sahlgrenska University Hospital between 1993 and1997 in 13 women treated for infertility is described. A comparison is made with non-reduced multiple pregnancies, both spontaneous and multiple pregnancies after assisted reproduction technology. Altogether 10 triplets, twoquadruplets and one quintuplet pregnancy underwent embryo reduction. The surgical procedure was performed in gestation week 7-8 by transvaginal, ultrasound-guided aspiration of embryonic tissue. The psychological follow-up included personal interviews and psychological evaluations by a Psychological General Well-being Scale (PGWB) and Beck's Depression Inventory (BDI), In11 cases reduction was performed to twin pregnancies. In two cases of triplets after in-vitro fertilization and transfer of two embryos, reduction was performed on the monozygotic, monochorionic twins. No complete miscarriages occurred. Ten women delivered twins and three women delivered singletons. The mean gestation length was 40.4 weeks for singletons and 35.9 weeks for twins. The mean birthweight was 3411 g for singletons and 2392 g for twins. No complications related to the reduction were detected in the children,The psychological follow-up showed that the psychological well-being of theparents was good. However, the events around the reduction were experienced as chaotic and emotionally disturbing. One woman regretted the reduction. All couples emphasized that avoidance of high order pregnancies should be of primary importance. In conclusion, embryo reduction appears to improve the perinatal outcome of multiple pregnancies obtained after assisted reproduction technology. It is important that the surgical procedure is performedat a centre with experience of this type of intervention, by a limited number of surgeons and in a regulated manner. Psychologically, however, the intervention is traumatic and psychological management is essential for good final outcome.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 18:47:23