First trimester selective reduction in multiple pregnancy guided by transvaginal sonography

Joseph Itskovitz, Rafael Boldes, Israel Thaler, Jacob Levron, Shraga Rottem, Joseph M. Brandes

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)323-327
Number of pages5
JournalJournal of Clinical Ultrasound
Volume18
Issue number4
DOIs
StatePublished - May 1990
Externally publishedYes

Keywords

  • Fetal reduction
  • Multiple pregnancy
  • Transvaginal ultrasonography

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