Amniocentesis after multifetal pregnancy reduction: is it safe?

Article Abstract:

Amniocentesis after multifetal pregnancy reduction appears to be safe and does not cause an increase in miscarriage, according to a study of 508 women with a multiple pregnancy. Multiple pregnancies can lead to poor maternal and fetal outcomes, so some of the fetuses are aborted.

Health aspects, Amniocentesis

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Multifetal pregnancy reduction by transvaginal puncture: evaluation of the technique used in 134 cases

Article Abstract:

Transvaginal puncture appears to be as safe as the transabdominal approach in the reduction of multifetal pregnancies. With the increased use of sophisticated infertility treatments, multifetal pregnancies are on the rise. Reducing the number of fetuses may improve the health and likelihood of survival of the remaining fetuses. Transvaginal reduction was performed manually in 40 women and by an automated puncture device in 94 women. Overall, pregnancy was lost in 17 (12.6%) of the women following multifetal reduction. The loss rates were the same for the manual and automated procedures although there were six subchorionic blood clots associated with the manual needle puncture and three associated with the automated needle puncture. For both techniques, pregnancy losses tended to be higher when only one or two fetuses were reduced. The procedure appeared to be safe for the mothers, and the few maternal infections that did develop were successfully treated.

Surgery, Obstetrics, Obstetrical surgery

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Two hundred ninety consecutive cases of multifetal pregnancy reduction: Comparison of the transabdominal versus the transvaginal approach

Article Abstract:

The performance of the transabdominal versus the transvaginal route for the multifetal pregnancy reductions was compared. It was found that the multifetal pregnancy reduction success rate was higher with the transabdominal route compared with the transvaginal route.

United States

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