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Related Experiment Videos

Congenital abnormalities in twins: selective termination

K S Stewart1, M P Johnson, R A Quintero

  • 1Department of Obetetrics and Gynecology, Hutzel Hospital, Wayne State University, Detroit, Michigan, USA.

Current Opinion in Obstetrics & Gynecology
|April 1, 1997
PubMed
Summary
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Selective termination is a second-trimester procedure for anomalous twins in discordant pregnancies. Management protocols, risks, and ethical considerations have evolved significantly over two decades.

Area of Science:

  • Perinatology
  • Maternal-Fetal Medicine
  • Reproductive Genetics

Background:

  • Selective termination is a management option for twin pregnancies with one anomalous fetus.
  • Diagnosis of discordant twins for congenital anomalies typically occurs in the second trimester.

Purpose of the Study:

  • To review the evolution of selective termination procedures in discordant twin pregnancies.
  • To discuss current management protocols, risks, and ethical considerations.

Main Methods:

  • Review of existing literature and clinical practices regarding selective termination.
  • Analysis of diagnostic techniques and procedural outcomes.

Main Results:

  • Selective termination is predominantly a second-trimester procedure.

Related Experiment Videos

  • Management protocols, including indications and timing, have undergone significant changes.
  • Ethical debates surrounding selective termination continue to evolve.
  • Conclusions:

    • Selective termination remains a complex management option for discordant twin pregnancies.
    • Ongoing evolution of protocols and ethical discourse are critical for clinical practice.