Multifetal pregnancy reduction by transvaginal puncture: Evaluation of the technique used in 134 cases
作者： Ilan E. Timor-Tritsch , David B. Peisner , Ana Monteagudo , Jodi P. Lerner , Shubhra Sharma
DOI: 10.1016/S0002-9378(12)90823-6
关键词: Reduction (orthopedic surgery) 、 Maternal complication 、 Obstetrics 、 Loss rate 、 Surgery 、 Medicine 、 Internal os 、 Pregnancy 、 Fetus 、 Multifetal pregnancy 、 Complication 、 Obstetrics and gynaecology
摘要: OBJECTIVE: This report reviews multifetal pregnancy reductions performed transvaginally and tests the feasibility associated loss rates with this technique. STUDY DESIGN: One hundred thirty-four consecutive were analyzed regarding different aspects of total losses complications. The first 40 manually compared last 94 procedures an automated puncture device a thin needle. also as comparison reduction lower-lying higher-lying fetuses located in relation to internal os. RESULTS: A uncorrected rate 12.6% corrected 10.6% was observed. Of 112 pregnancies which fetus reduced, 11 seen. group reducing upper three 22. manual versus groups showed same (10%); however, had larger number subchorionic hematomas after procedure. CONCLUSIONS: data are indicative very low maternal complication (infection) acceptable entire pregnancy. compare favorable those for transabdominally.
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