Selective reduction in multiple gestations: pregnancy outcome after transvaginal and transabdominal needle-guided procedures

Shalev J, Frenkel Y, Goldenberg M, Shalev E, Lipitz S, Barkai G, Nebel L, Mashiach S

doi:10.1016/s0015-0282(16)60910-x

Selective reduction in multiple gestations: pregnancy outcome after transvaginal and transabdominal needle-guided procedures

M Goldenberg, S Lipitz, J Shalev, G Barkai, Y Frenkel, S Mashiach, L Nebel, E Shalev

Sheba Medical Center ROR
Tel Aviv University ROR

Fertility and Sterility, 52(3), 416-420

DOI 10.1016/s0015-0282(16)60910-x PMID 2776895

Abstract

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.

Topics

Pregnancy > Multiple Gestation > Selective Fetal Reduction Infertility > Ovulation Induction Complications > Multiple Pregnancy Management General OB/GYN > Surgical Procedures > Fetal Reduction Techniques

selective fetal reduction multiple gestations first trimester, transvaginal versus transabdominal selective reduction multifetal pregnancy, multifetal pregnancy reduction potassium chloride injection outcome, ovulation induction hMG multiple pregnancy reduction technique, selective reduction pregnancy outcome complications comparison, multifetal gestation management needle-guided fetal reduction, Shalev J selective fetal reduction transvaginal approach, human menopausal gonadotropin multifetal pregnancy complication, first trimester selective continuation pregnancy technique, iatrogenic multiple pregnancy reduction procedures outcomes

PMID 2776895 2776895 DOI 10.1016/s0015-0282(16)60910-x 10.1016/s0015-0282(16)60910-x

Cite this article

Shalev, J., Frenkel, Y., Goldenberg, M., Shalev, E., Lipitz, S., Barkai, G., Nebel, L., & Mashiach, S. (1989). Selective reduction in multiple gestations: pregnancy outcome after transvaginal and transabdominal needle-guided procedures. *Fertility and sterility*, *52*(3), 416-420. https://doi.org/10.1016/s0015-0282(16)60910-x

Keywords

Abdomen, Abortion, Induced/methods, Adult, Female, Gestational Age, Humans, Pregnancy, Pregnancy, Multiple, Vagina, Asia, Developed Countries, Examinations And Diagnoses, Israel, Mediterranean Countries, Pregnancy, Pregnancy Outcomes, Pregnancy, First Trimester, Pregnancy, Multiple--changes, Reproduction, Ultrasonics, Western Asia

Selective reduction in multiple gestations: pregnancy outcome after transvaginal and transabdominal needle-guided procedures

Abstract

Topics

Cite this article

Keywords

Related articles

Neonatal characteristics of children conceived with in vitro fertilization or intrauterine insemination compared with sibling births from unassisted conceptions

Disordered eating behaviors during adolescence and risk of endometriosis: a prospective cohort study

"Reply of the authors: ""Response to ""The illusion of reproductive choice: how restorative reproductive medicine violates informed consent for infertility treatment"""""

Reply of the authors: "Response to "The illusion of reproductive choice: how restorative reproductive medicine violates reproductive autonomy and informed consent"" by Frank-Herrmann et al