Selective fetoreduction: Report of two cases

Objective: The purpose of this study is to evaluate selective fetoreduction in two twin pregnancies which have one of abnormalities Case: 28 and 34 years old two patients have 18 and 16 weeks gestation and one of abnormal sibling, respectively. Vertebral anomaly and oligohydramnios were found in the first case, and the encephalocele was found in the second case. Transabdominal ultrasound guided selective fetoreduction was performed in both anomaly fetuses, and no complications were occurred in early period. Preterm labor was occurred in both cases at 32 and 35 weeks of gestation. The first case was delivered vaginally, and the second case due to previous cesarean section was delivered abdominally. The babies were 1,700 g and 2,400, respectively. There was not found a problem in infants in the first 3 months of postpartum period. Conclusion: Due to potential risks of multiple pregnancies for mother and fetus, we think that selective fetoreduction is useful for the anomalous one of sibling twin.