Outcome of twin pregnancies reduced from triplets compared with nonreduced twin gestations

Obstetrics and Gynecology
Shlomo LipitzB Reichman

Abstract

To compare the outcome of triplet pregnancies reduced to twins who reached 24 weeks' gestation with the outcome of twin pregnancies managed in the same perinatal department. The study group included 43 triplet pregnancies reduced to twins who reached 24 weeks' gestation and were delivered between January 1989 and December 1993. The complications and outcomes of these pregnancies were compared with all 134 bichorionic twin pregnancies delivered during 1993. In general, the outcome of triplet pregnancies reduced to twins was not significantly different from that of twin pregnancies. Both pregnancy-induced hypertension and premature contractions were similar in the two groups. The higher incidence of premature rupture of membranes (PROM) in the reduced cases compared with nonintervention twins (18.6 versus 8.2%) was of borderline significance (relative risk [RR] 2.27, 95% confidence interval [CI] 0.98-5.27). Although premature delivery occurred in 30% of patients in both groups, 20.9% of patients in the reduction group delivered before 35 weeks' gestation, compared with 10.4% in the nonintervention group (RR 2.0, 95% CI 0.93-4.30). The mean gestational age was similar in the two groups, as was the risk of low birth weight and resp...Continue Reading

References

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Citations

Feb 3, 1998·European Journal of Obstetrics, Gynecology, and Reproductive Biology·S J Fasouliotis, J G Schenker
May 22, 2003·Best Practice & Research. Clinical Obstetrics & Gynaecology·R C WimalasunderaN M Fisk
Aug 8, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S LipitzD S Seidman
Mar 17, 2004·Clinical Obstetrics and Gynecology·Nancy C Chescheir
Feb 25, 2014·Archives of Gynecology and Obstetrics·Emre OkyayBulent Gulekli
Sep 25, 2010·Seminars in Fetal & Neonatal Medicine·R C Wimalasundera
Jun 23, 2000·Clinics in Perinatology·B B WarnerE F Donovan
Jun 28, 2000·American Journal of Obstetrics and Gynecology·V L MillerM I Evans
Jan 26, 2002·American Journal of Obstetrics and Gynecology·Richard P DickeyEllen M Matulich
Oct 10, 2012·Fertility and Sterility·Anat Hershko-KlementArie Berkovitz
Sep 7, 2016·Reproductive Biomedicine Online·Jigal HaasAdrian Shulman
Mar 4, 2014·Fertility and Sterility·Jigal HaasAdrian Shulman
Aug 2, 2005·Obstetrical & Gynecological Survey·Allen Ayres, Timothy R B Johnson

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