Korean J Obstet Gynecol.
2007 Dec;50(12):1657-1664.
Tailored selective termination in second trimester in twin pregnancy
- Affiliations
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- 1Department of Obstetrics and Gynecology, University School of Medicine Ewha Woman's University, Seoul, Korea. ewhapmh@ewha.ac.kr
- 2Department of Obstetrics and Gynecology, College of Medicine, Eul Ji University, Seoul, Korea.
Abstract
OBJECTIVE
Recently, selective termination is employed in multifetal pregnancies, in the presence of an abnormal fetus, or in the complication of twin pregnancies. The purpose of this study is to evaluate effectiveness, safety of the tailored selective termination in multifetal pregnancies.
METHODS
This study was retrospective and involved six cases. Indication of termination were 3 cases of structural anomalies (anencephaly, encephalocele, body stalk anomaly), 1 case of chromosomal anomaly (21 trisomy) and 2 cases of monochorionic twin complications (acardiac twin, twin to twin transfusion syndrome).
RESULTS
We used KCL injection in 4 cases, they were all confirmed dichorionic twin, and in 2 cases of monochorionic twin, we used alcohol ablation of intra-abdominal umbilical artery in 1 case, and radiofrequency ablation of the cord in 1 case.
CONCLUSION
All procedures were successful, and all normal infants were delivered in 3rd trimester. Tailored selective termination in 2nd trimester is effective and safe in abnormal multifetal pregnancies.
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