Postoperative complications risk after multifetal pregnancy reduction
- Authors: Koroteev A.L.1, Talantova O.E.1, Novikova A.V.1, Prokhorova V.S.1, Mikhailov A.V.1
-
Affiliations:
- D.O. Ott Institute of Obstetrics and Gynecology, Russian Academy of Medical Sciences
- Issue: Vol 48, No 5S (1999)
- Pages: 84-84
- Section: Articles
- URL: https://journals.eco-vector.com/jowd/article/view/101013
- DOI: https://doi.org/10.17816/JOWD101013
- ID: 101013
Cite item
Full Text
Abstract
Objective: To study postoperative complications risk after multifetal pregnancy reduction (MFPR).
Full Text
Objective: To study postoperative complications risk after multifetal pregnancy reduction (MFPR).
Methods: In 1995-99, 117 fetal reductions in 90 patients were performed. The term of pregnancy on the moment of operation was from 8w+ld to 13w+6d, in average 10 weeks+3 days. The method of fetal selection was based on fetal biometry data and Doppler investigation of fetoplacental system. 27 sets of quadruplets were reduced to twins and 63 sets of triplets - to twins. Under ultrasound guidance the punction of fetal thorax was performed in cardial area by means of transabdominal needle 22G and 1-2 ml of 4% KCl solution was injected. The asystolia was observed during first minute after solution injection.
Results: Multifetal pregnancy reduction was effective in all cases, no complications were registered. As in other invasive procedures during pregnancy the loss of fetuses continued development after MFPR during 2 weeks is directly connected with the procedure. The fetal loss within next 2 weeks is caused mostly by initial patient state before and during pregnancy. The fetal loss 4 weeks after the procedure is not associated with multifetal pregnancy reduction. In our investigation 2 cases of fetal loss (2,2%) were registered within 4 weeks after MFPR.
Conclusions: The results allow to consider that multifetal pregnancy reduction is relatively safe procedure for future pregnancy development.
About the authors
A. L. Koroteev
D.O. Ott Institute of Obstetrics and Gynecology, Russian Academy of Medical Sciences
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, St. Petersburg
O. E. Talantova
D.O. Ott Institute of Obstetrics and Gynecology, Russian Academy of Medical Sciences
Email: info@eco-vector.com
Russian Federation, St. Petersburg
A. V. Novikova
D.O. Ott Institute of Obstetrics and Gynecology, Russian Academy of Medical Sciences
Email: info@eco-vector.com
Russian Federation, St. Petersburg
V. S. Prokhorova
D.O. Ott Institute of Obstetrics and Gynecology, Russian Academy of Medical Sciences
Email: info@eco-vector.com
Russian Federation, St. Petersburg
A. V. Mikhailov
D.O. Ott Institute of Obstetrics and Gynecology, Russian Academy of Medical Sciences
Email: info@eco-vector.com
Russian Federation, St. Petersburg