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[Selective abortion under sonographic control in multiple pregnancy].

U Gigon1, G Beck, H Schneider

  • 1Frauenklinik des Solothurnischen Kantonsspitals Olten.

Geburtshilfe Und Frauenheilkunde
|March 1, 1989
PubMed
Summary
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Selective embryocide in quadruplet pregnancies can lead to healthy triplet births. This procedure may be suitable for multiple gestations with over four embryos, offering a viable option for managing high-order multiples.

Area of Science:

  • Reproductive Medicine
  • Maternal-Fetal Medicine
  • Perinatology

Background:

  • High-order multiple pregnancies, such as quadruplets, carry significant risks for both the mother and fetuses.
  • Selective reduction aims to improve pregnancy outcomes by reducing the number of fetuses.
  • Early intervention is crucial in managing complex pregnancies.

Observation:

  • A case of selective embryocide was performed at 9 weeks gestation in a quadruplet pregnancy.
  • The procedure involved the careful reduction of one embryo.
  • The patient's pregnancy progressed without immediate complications.

Findings:

  • The patient successfully carried the pregnancy to 31 3/7 weeks.
  • Delivery resulted in healthy triplets.

Related Experiment Videos

  • No adverse events were reported post-procedure.

    • Implications:

    • Selective embryocide is a potentially safe and effective method for managing quadruplet pregnancies.
    • This intervention can improve the chances of delivering healthy infants in high-order multiple gestations.
    • Consideration of selective reduction may be beneficial for pregnancies with more than four embryos.