超声引导下经阴道多胎妊娠减胎术后妊娠结局分析

doi:10.19739/j.cnki.issn1001-9510.2021.04.006

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Abstract Objective To analyze the pregnancy outcome of patients undergoing multiple pregnancy reduction.Methods Retrospective analysis was carried out on clinical data of 63 pregnant women with multiple pregnancies through transvaginal fetal reduction. The patients were divided into four groups: four fetuses reduced to twins group, three fetuses reduced to twins group, three fetuses reduced to singles group, and twins reduced to singles group. The pregnancy outcome of patients in each group after pregnancy reduction was analyzed.Results Of the 63 patients undergoing fetal reduction, 50 had a successful delivery, 3 had early miscarriage (4.67%), 9 had late miscarriage (14.29%), 1 had induced labor due to fetal cleft lip, and 37 had full-term labor (58.73%), 13 cases of premature delivery (20.63%), and the rate of low birth weight infants was 43.53%. There was no statistically significant difference between the two groups reduced to twins and the two groups reduced to singles in early abortion, premature delivery, neonatal weight, and low-birth-weight infants. Compared with the multiple fetuses reduced to singles, the multiple fetuses reduced to twins groups had lower birth weight, and the difference was statistically significant. There was no statistical difference between the groups in the early abortion rate, late miscarriage rate, premature birth rate, and low birth weight rate.Conclusion Pregnancy outcomes after multiple pregnancy reduction are mostly related to the final number of pregnancy, but not related to the number of initial pregnancy sacs. The multiple fetuses reduced to twins groups have higher complications than reduction to singles, so it is recommended that multiple pregnancy reduction be better to single pregnancy

Key words： multiple pregnancy multiple pregnancy reduction twins singleton pregnancy outcome

Received: 21 October 2020

PACS:

R715.5

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	Articles by authors
	LAO Kaixue
	DIAO Xinghua
	ZHAI Qingliang
	MA He
	ZHANG Dongmei
	YUAN Saisai
	DING Peihui
	WANG Yanlin

Cite this article:

LAO Kaixue,DIAO Xinghua,ZHAI Qingliang, et al. Analysis of pregnancy outcome after multifetal pregnancy reduction under the guidance of transvaginal ultrasound[J]. 滨州医学院学报, 2021, 44(4): 266-269.

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http://manu58.magtech.com.cn/Jwk_bzyxy/EN/10.19739/j.cnki.issn1001-9510.2021.04.006 OR http://manu58.magtech.com.cn/Jwk_bzyxy/EN/Y2021/V44/I4/266

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