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First trimester selective reduction in multiple pregnancy guided by transvaginal sonography
Author(s) -
Itskovitz Joseph,
Boldes Rafael,
Thaler Israel,
Levron Jacob,
Rottem Shraga,
Brandes Joseph M.
Publication year - 1990
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.1870180417
Subject(s) - medicine , transvaginal ultrasonography , transvaginal sonography , pregnancy , abortion , obstetrics , fetus , ultrasonography , first trimester , gynecology , surgery , biology , genetics
Transvaginal ultrasonography‐guided fetal reduction was performed in 11 patients presenting with multiple pregnancies. Embryonic aspiration was carried out in 7 women at 7 to 8 weeks and in 4 patients fetal intrathoracic injection was performed at 9 to 11 weeks, menstrual age. Seven patients delivered healthy babies at >35 weeks, 3 have delivered prematurely 15 to 17 weeks after the procedure with subsequent neonatal death of all sets of twins. We believe that our method overcomes the technical difficulties related to the transabdominal or transcervical approach and should be the method of choice for early selective abortion.