TY - JOUR
T1 - Selective reduction in multiple gestations
T2 - Pregnancy outcome after transvaginal and transabdominal needle-guided procedures
AU - Shalev, J.
AU - Frenkel, Y.
AU - Goldenberg, M.
AU - Shalev, E.
AU - Lipitz, S.
AU - Barkai, G.
AU - Nebel, L.
AU - Mashiach, S.
PY - 1989
Y1 - 1989
N2 - Selective fetal reduction was performed in the first trimester of pregnancy in 20 women with multifetal gestations after ovulation induction with human menopausal gonadotropin (hMG). In 10 women (group A) reduction was performed transabdominally, and in 10 women (group B) the transvaginal approach was used. The transvaginal technique achieved penetration of several gestational sacs without withdrawing the needle from the uterus. Fetal termination using either procedure occurred with intrafetal injection of potassium chloride. Six (60%, group A) and eight (80%, group B) patients delivered healthy newborns. One patient (group B) is at 30 weeks' gestation. Four (40%, group A) and one (10%, group B) aborted 1 day to 8 weeks after the procedure (1 septic abortion, each group). Our results suggest that transvaginal fetal reduction offers a better outcome, with minimal complications, to patients referred for selective continuation of pregnancy.
AB - Selective fetal reduction was performed in the first trimester of pregnancy in 20 women with multifetal gestations after ovulation induction with human menopausal gonadotropin (hMG). In 10 women (group A) reduction was performed transabdominally, and in 10 women (group B) the transvaginal approach was used. The transvaginal technique achieved penetration of several gestational sacs without withdrawing the needle from the uterus. Fetal termination using either procedure occurred with intrafetal injection of potassium chloride. Six (60%, group A) and eight (80%, group B) patients delivered healthy newborns. One patient (group B) is at 30 weeks' gestation. Four (40%, group A) and one (10%, group B) aborted 1 day to 8 weeks after the procedure (1 septic abortion, each group). Our results suggest that transvaginal fetal reduction offers a better outcome, with minimal complications, to patients referred for selective continuation of pregnancy.
UR - http://www.scopus.com/inward/record.url?scp=0024442123&partnerID=8YFLogxK
U2 - 10.1016/S0015-0282(16)60910-X
DO - 10.1016/S0015-0282(16)60910-X
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AN - SCOPUS:0024442123
SN - 0015-0282
VL - 52
SP - 416
EP - 420
JO - Fertility and Sterility
JF - Fertility and Sterility
IS - 3
ER -