P357: Two hundred and ninety consecutive cases of multifetal pregnancy reduction (MFPR) at the New York university medical center Academic Article uri icon

abstract

  • Materials and methods 290 consecutive cases of MFPR were performed during the years 08/1998–02/2002. The transvaginal route (TVS) was chosen in cases of extreme obesity, patient with abdominal scars and if the fetus in the lowest sac had to be reduced and could not be reached transabdominally (TAS). Prophylactic antibiotics was given. 271 cases were defined as successful by delivery of liveborn babies after 24 postmenstrual weeks of gestation (Group 1). 19 cases had pregnancy losses at, or before 24 weeks (Group 2). Epidemiological as well as pregnancy characteristics were compared. Results The total pregnancy loss rate was 6.5%(19/290). The loss rate of MFPR by TAS was 3.45%(7/203) and by TVS 13.3 (10/75). Pregnancy losses in relation to starting numbers were was: 4.6% for starting with twins, 7.1% for triplets, 3.3% for quadruplets, 13.6% for quintuplets and 9 …

publication date

  • January 1, 2003