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Fetal reduction of triplet pregnancy: one or two?
Author(s) -
KuhnBeck F.,
Moutel G.,
Weingertner A. S.,
Kohler M.,
Hornecker F.,
Hunsinger M. C.,
Kohler A.,
Mager C.,
Neumann M.,
Nisand I.,
Favre R.
Publication year - 2012
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.2906
Subject(s) - fetus , obstetrics , reduction (mathematics) , medicine , pregnancy , biology , genetics , mathematics , geometry
Objective To review outcomes following reductions in trichorionic triplet pregnancies at our institution. Method Retrospective analysis of the outcome of trichorionic triamniotic triplets reduced to singletons (group I, n = 44) or twins (group II, n = 136) at 10 and 12 weeks of gestation. Results Reduction to one or two was based on parent's preference, hence unrelated to any specific obstetrical or maternal issue. Early fetal loss rate (e.g. <24 weeks) was 9.1% in group I versus 5.1% in group II ( p = 0.83). In group I, the take‐home baby rate was 86.4% versus 91.9% in group II ( p = 0.8). In group I, 17.5% of the women gave birth between 33 and 36 +6 weeks of gestation versus 40.6% in group II ( p = 0.026). Delivery beyond 37 weeks was 72.5% in group I and 46.9% in group II ( p = 0.01). Intrauterine growth restriction rate was 27.0% in group I versus 45.0% in group II ( p = 0.049). Conclusion Reduction to one rather than two fetuses led to significantly higher term delivery rate without significant differences in fetal loss rate or take‐home baby rate. © 2012 John Wiley & Sons, Ltd.