Reduction of multiple pregnancy: Counselling and techniques.

Bipolar cord coagulation Fetal reduction Intra-fetal laser ablation Multifetal pregnancy reduction Multiple pregnancy Radiofrequency ablation

Journal

Best practice & research. Clinical obstetrics & gynaecology
ISSN: 1532-1932
Titre abrégé: Best Pract Res Clin Obstet Gynaecol
Pays: Netherlands
ID NLM: 101121582

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 04 05 2020
accepted: 16 06 2020
pubmed: 30 8 2020
medline: 2 2 2021
entrez: 30 8 2020
Statut: ppublish

Résumé

The incidence of multiple births has risen in the last few decades. This rise is mainly due to the widespread use of assisted reproduction techniques mainly as a result of increasing maternal age at conception. Twin and higher-order multiple pregnancies are associated with increased risk of perinatal, as well as maternal, mortality and morbidity compared to singleton pregnancies. There can also be psychosocial and socioeconomic implications for women and their families. In this chapter, we aim to discuss the risks associated with multiple pregnancies, the pros and cons of fetal reduction, the current techniques used in clinical practice, and how to approach counselling parents, enabling them to make informed decisions.

Identifiants

pubmed: 32859535
pii: S1521-6934(20)30124-3
doi: 10.1016/j.bpobgyn.2020.06.013
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

112-122

Informations de copyright

Copyright © 2020. Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors have no conflicts of interest.

Auteurs

Mercede Sebghati (M)

Fetal Medicine Unit, St George's University Hospitals, Blackshaw Road, London, UK.

Asma Khalil (A)

Fetal Medicine Unit, St George's University Hospitals, Blackshaw Road, London, UK; Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute, St George's University of London, Cranmer Terrace, London, UK; Twins Trust Centre for Research and Clinical Excellence, UK. Electronic address: akhalil@sgul.ac.uk.

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Classifications MeSH