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Fetal reduction of triplet pregnancy: one or two?

2012; Wiley; Volume: 32; Issue: 2 Linguagem: Inglês

10.1002/pd.2906

1097-0223

Fanny Kuhn-Beck, Grégoire Moutel, A.-S. Weingertner, M. Köhler, F. Hornecker, M. C. Hunsinger, Anne Köhler, C. Mager, M. Neumann, I. Nisand, R. Favre,

Ectopic Pregnancy Diagnosis and Management

ABSTRACT Objective To review outcomes following reductions in trichorionic triplet pregnancies at our institution. Method Retrospective analysis of the outcome of trichorionic triamniotic triplets reduced to singletons (group I, n = 44) or twins (group II, n = 136) at 10 and 12 weeks of gestation. Results Reduction to one or two was based on parent's preference, hence unrelated to any specific obstetrical or maternal issue. Early fetal loss rate (e.g. <24 weeks) was 9.1% in group I versus 5.1% in group II ( p = 0.83). In group I, the take‐home baby rate was 86.4% versus 91.9% in group II ( p = 0.8). In group I, 17.5% of the women gave birth between 33 and 36 +6 weeks of gestation versus 40.6% in group II ( p = 0.026). Delivery beyond 37 weeks was 72.5% in group I and 46.9% in group II ( p = 0.01). Intrauterine growth restriction rate was 27.0% in group I versus 45.0% in group II ( p = 0.049). Conclusion Reduction to one rather than two fetuses led to significantly higher term delivery rate without significant differences in fetal loss rate or take‐home baby rate. © 2012 John Wiley & Sons, Ltd.