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Related Experiment Videos

Selective termination of multiple gestations.

M S Golbus1, N Cunningham, J D Goldberg

  • 1Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco.

American Journal of Medical Genetics
|October 1, 1988
PubMed
Summary

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This summary is machine-generated.

Selective termination in multiple pregnancies had a higher success rate in dichorionic cases compared to monochorionic cases. Intracardiac potassium chloride injection is recommended for dichorionic selective termination.

Area of Science:

  • Maternal-fetal medicine
  • Reproductive medicine
  • Perinatology

Background:

  • Multiple gestations present unique challenges in prenatal care.
  • Selective termination is a procedure to reduce the number of fetuses in multiple pregnancies.
  • Different types of multiple pregnancies (dichorionic vs. monochorionic) may have varying outcomes with selective termination.

Purpose of the Study:

  • To evaluate the outcomes of selective termination in multiple gestations.
  • To compare the success rates of selective termination in dichorionic versus monochorionic pregnancies.
  • To identify the optimal method for selective termination in specific types of multiple pregnancies.

Main Methods:

  • Review of 22 cases of selective termination in multiple gestations.
Keywords:
Abortion, Induced--indicationsAge FactorsAmniocentesisBiologyChromosome AbnormalitiesCongenital AbnormalitiesDemographic FactorsDiseasesExaminations And DiagnosesFamily PlanningFertility Control, PostconceptionFetal DeathGenetic TechnicsGynecologic SurgeryHysterotomyInfantInfant, PrematureLaboratory Examinations And DiagnosesMortalityNeonatal Diseases And AbnormalitiesPopulationPopulation CharacteristicsPopulation DynamicsPregnancyPregnancy OutcomesPregnancy, MultipleReproductionRisk FactorsSurgeryTreatmentUltrasonicsUrogenital SurgeryYouth

Related Experiment Videos

  • Categorization of pregnancies into dichorionic and monochorionic types.
  • Analysis of different methods used for selective termination, including intracardiac potassium chloride injection.
  • Assessment of delivery outcomes, including survival rates and complications like premature labor.

    • Main Results:

    • Successful delivery was achieved in 17 out of 17 dichorionic pregnancies.
    • Only one out of five monochorionic pregnancies resulted in a successful delivery; four experienced pregnancy loss.
    • Six of the 18 delivered pregnancies were complicated by premature labor and delivery.
    • Intracardiac potassium chloride injection was identified as the preferred method for selective termination in dichorionic pregnancies.

    Conclusions:

    • Selective termination is more successful in dichorionic multiple pregnancies than in monochorionic ones.
    • Intracardiac potassium chloride injection is a recommended procedure for selective termination in dichorionic pregnancies.
    • Premature labor remains a significant complication following selective termination in multiple gestations.