[Selective reduction of multiple pregnancy in the 1st trimester: results and experience in 10 cases]

Ten patients with multiple gestations, all resulting from in vitro fertilization, underwent multifoetal pregnancy reduction. In four cases transvaginal puncture was performed, six patients underwent transabdominal pregnancy reduction. Seven women delivered, all three pregnancy losses occurred in the transvaginal punction group--there was one early loss after the procedure and two abortions in the late second trimester. There were 5 sets of twins and two singletons were delivered. Multifoetal pregnancy reduction represents an important addition to the management of unplanned multifoetal pregnancy resulting from infertility treatment. The procedure is not without risks and these must be weighted against expected benefits.