Outcomes of Multifetal Pregnancy Reduction in Multiple Pregnancies Achieved by Intracytoplasmic Sperm Injection Using Ejaculated, Testicular, or Epididymal Sperm

1997 ◽  
Vol 44 (1) ◽  
pp. 1-5
Author(s):  
Semra Kahraman ◽  
Kubilay Vicdan ◽  
Alp Nuhoğlu ◽  
Nuri Danışman ◽  
Zeki Işık ◽  
...  
Keyword(s):  
Intracytoplasmic Sperm Injection ◽  
Multiple Pregnancies ◽  
Epididymal Sperm ◽  
Multifetal Pregnancy ◽  
Multifetal Pregnancy Reduction

Controversial Issues in the Management of Multiple Pregnancies

Twin Research ◽  
2001 ◽  
Vol 4 (3) ◽  
pp. 165-167 ◽  
Author(s):  
Isaac Blickstein
Keyword(s):  
Mode Of Delivery ◽  
Controversial Issues ◽  
Multiple Pregnancies ◽  
Perinatal Medicine ◽  
Genetic Studies ◽  
Special Cases ◽  
Definition Of ◽  
Multifetal Pregnancy ◽  
Selection Of ◽  
Multifetal Pregnancy Reduction

AbstractThe management of multiple pregnancies represents a true challenge for all sub-specialties concerned with perinatal medicine. Many issues were neglected over the years merely because they were rare and therefore considered not sufficiently important to merit clinical trials. This paper discusses a personal selection of controversial issues, such as multifetal pregnancy reduction of triplets and twins, special cases in multifetal preganncy reduction, need for invasive genetic studies, management of twin-twin transfusion, discordant fetal conditions, the definition of “term” in multiples, and the controversy about the mode of delivery.

scholarly journals Recovery of second trimester pre-eclampsia after fetal reduction of a triplet

2019 ◽  
Vol 12 (9) ◽  
pp. e227667
Author(s):  
Jeske M bij de Weg ◽  
Christianne J de Groot ◽  
Eva Pajkrt ◽  
Marjon A de Boer
Keyword(s):  
Severe Hypertension ◽  
Multiple Pregnancy ◽  
Second Trimester ◽  
Multiple Pregnancies ◽  
Review Of The Literature ◽  
Hypertensive Disorders Of Pregnancy ◽  
Triplet Pregnancy ◽  
Increased Risk ◽  
Multifetal Pregnancy ◽  
Multifetal Pregnancy Reduction

Women with a multiple pregnancy are at increased risk of developing hypertensive disorders of pregnancy. We describe a case of a dichorionic triamniotic triplet pregnancy complicated by severe hypertension, proteinuria and maternal symptoms, fitting with the diagnosis of pre-eclampsia, apart from the early gestational age of only 16 weeks. After reduction of the monochorionic pair, the disease resolved and pre-eclampsia was diagnosed again at 30 weeks of gestation, resulting in a delivery on maternal indication at 33 weeks of gestation. In a review of the literature, we found six papers including eight cases on multifetal pregnancy reduction on maternal indication. Multifetal pregnancy reduction resulted in a prolongation of pregnancy of two to 21 weeks and may be considered in extreme early onset pre-eclampsia in dichorionic multiple pregnancies.

scholarly journals Abortion and multifetal pregnancy reduction: An ethical comparison

2021 ◽  
Author(s):  
Silje Langseth Dahl ◽  
Rebekka Hylland Vaksdal ◽  
Mathias Barra ◽  
Espen Gamlund ◽  
Carl Tollef Solberg
Keyword(s):  
Medical Ethics ◽  
Psychological Effects ◽  
Multiple Pregnancies ◽  
Relevant Difference ◽  
Abortion Debate ◽  
Abortion Legislation ◽  
Moral Distinction ◽  
Multifetal Pregnancy ◽  
Multifetal Pregnancy Reduction

In recent years, multifetal pregnancy reduction (MFPR) has increasingly been a subject of debate in Norway. The intensity of this debate reached a tentative maximum when the Legislation Department delivered their interpretative statement, Section 2 - Interpretation of the Abortion Act, in 2016 in response to a request from the Ministry of Health (2014) that the Legislation Department consider whether the Abortion Act allows for MFPR of healthy fetuses in multiple pregnancies. The Legislation Department concluded that the current abortion legislation [as of 2016] allows for MFPR subject to the constraints that the law otherwise stipulates. The debate has not subsided, and during autumn 2018 it was further intensified in connection with the Norwegian Christian Democratic "crossroads" policy and signals from the Conservatives to consider removing section 2.3c and to forbid MFPR. Many of the arguments in the MFPR debate are seemingly similar to arguments put forward in the general abortion debate, and an analysis to ascertain what distinguishes MFPR from other abortions has yet to be conducted. The aim of this article is, therefore, to examine whether there is a moral distinction between abortion and MFPR of healthy fetuses. We will cover the typical arguments emerging in the debate in Norway and exemplify them with scholarly articles from the literature. We have dubbed the most important arguments against MFPR that we have identified the harm argument, the slippery-slope argument, the intention argument, the grief argument, the long-term psychological effects for the woman argument, and the sorting argument. We conclude that these arguments do not measure up in terms of demonstrating a morally relevant difference between MFPR of healthy fetuses and other abortions. Our conclusion is, therefore — despite what several discussants seem to think — that there is no morally relevant difference between the two. Therefore, on the same conditions as we allow for abortions, we should also allow MFPR. Keywords: abortion, ethics, medical ethics, MFPR, selective MFPR

scholarly journals Perinatal outcomes in dichorionic diamniotic twins with multifetal pregnancy reduction versus expectant management

Medicine ◽  
2020 ◽  
Vol 99 (25) ◽  
pp. e20730 ◽  
Author(s):  
Bihui Jin ◽  
Qiongxiao Huang ◽  
Mengxia Ji ◽  
Zhizhi Yu ◽  
Jing Shu
Keyword(s):  
Perinatal Outcomes ◽  
Expectant Management ◽  
Multifetal Pregnancy ◽  
Multifetal Pregnancy Reduction

Cervical length after multifetal pregnancy reduction in remaining twin gestations

2001 ◽  
Vol 185 (5) ◽  
pp. 1113-1117 ◽  
Author(s):  
Andrei Rebarber ◽  
Carlos Alberto Carreno ◽  
Heather Lipkind ◽  
Edmund F. Funai ◽  
Jeanine Maturi ◽  
...  
Keyword(s):  
Cervical Length ◽  
Multifetal Pregnancy ◽  
Multifetal Pregnancy Reduction
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