Tailored selective termination in second trimester in twin pregnancy.
- Author:
Soo Yoon LEE
1
;
Mi Hye PARK
;
Kwan Young OH
;
Byung Kwan LEE
;
Young Ju KIM
;
Jung Ja AHN
;
Chong Il KIM
;
Sun Hee CHUN
Author Information
1. Department of Obstetrics and Gynecology, University School of Medicine Ewha Woman's University, Seoul, Korea. ewhapmh@ewha.ac.kr
- Publication Type:Original Article
- Keywords:
Tailored selective termination;
Chorionicity;
Twin pregnancy
- MeSH:
Catheter Ablation;
Encephalocele;
Female;
Fetofetal Transfusion;
Fetus;
Humans;
Infant;
Pregnancy;
Pregnancy Trimester, Second*;
Pregnancy, Twin*;
Retrospective Studies;
Umbilical Arteries
- From:Korean Journal of Obstetrics and Gynecology
2007;50(12):1657-1664
- CountryRepublic of Korea
- Language:Korean
-
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.
