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Selective embryo reduction in a sextuplet pregnancy
A Uribarren1, G Aranguren, F J Rodríguez-Escudero
1Centro de Estudios de Ginecología y Reproduccíon, Bilbao, Spain.
Fertility and Sterility
|June 1, 1990
Summary
A 29-year-old woman experienced a sextuplet pregnancy after using human menopausal gonadotropin (hMG) and transvaginal Doppler imaging (TDI). Successful embryo reduction led to the spontaneous delivery of a healthy infant.
Area of Science:
- Reproductive endocrinology and infertility treatments.
- Maternal-fetal medicine and high-order multiple gestations.
Background:
- Infertility treatment protocols involving human menopausal gonadotropin (hMG) can lead to high-order multiple pregnancies.
- The management of sextuplet pregnancies presents significant challenges in early gestation.
Observation:
- A 29-year-old infertile patient undergoing hMG and TDI treatment developed a sextuplet pregnancy.
- Two distinct embryo reduction procedures were performed during the first trimester: transvaginal at 9 weeks and transabdominal at 12 weeks.
Findings:
- The dual-session embryo reduction procedure was technically successful.
- The pregnancy proceeded to a favorable perinatal outcome.
Implications:
- Selective embryo reduction is a viable option for managing iatrogenic high-order multiple pregnancies.
- Careful monitoring and intervention can lead to successful singleton births following multifetal pregnancies.