Multifetal Pregnancy Reduction and Selective Termination: The Canadian Experience
Objective: To describe the experience of two Canadian referral centres with multifetal pregnancy reduction (MFPR) and selective termination (ST). Methods: Retrospective chart review of all MFPR and ST procedures during the periods from January 1, 1990, to December 31, 1997 (Vancouver), and from Sept...
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| Veröffentlicht in: | Fetal diagnosis and therapy 1999-11, Vol.14 (6), p.360-364 |
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| creator | von Dadelszen, Peter Johnson, Jo-Ann M. Farquharson, Duncan F. Wilson, R. Douglas Seaward, P. Gareth R. |
| description | Objective: To describe the experience of two Canadian referral centres with multifetal pregnancy reduction (MFPR) and selective termination (ST). Methods: Retrospective chart review of all MFPR and ST procedures during the periods from January 1, 1990, to December 31, 1997 (Vancouver), and from September 1, 1995, to December 31, 1997 (Toronto). Outstanding outcome data were obtained by telephone. All women were managed according to standard protocols. Non-parametric analysis of continuous variables and Fisher’s exact test for categorical variables were used. Results: 61 women underwent transabdominal MFPR (n = 44) or ST (n = 17). Median maternal age: MFPR and ST 33.0 years; gestational age at reduction: MFPR 11.4, ST 20.2 weeks; procedure duration: MFPR 4, ST 10 min. 89% MFPR and 12% ST cases followed assisted reproduction. 7% MFPR and 18% ST pregnancies lost |
| doi_str_mv | 10.1159/000020959 |
| format | Article |
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Douglas ; Seaward, P. Gareth R.</creator><creatorcontrib>von Dadelszen, Peter ; Johnson, Jo-Ann M. ; Farquharson, Duncan F. ; Wilson, R. Douglas ; Seaward, P. Gareth R.</creatorcontrib><description>Objective: To describe the experience of two Canadian referral centres with multifetal pregnancy reduction (MFPR) and selective termination (ST). Methods: Retrospective chart review of all MFPR and ST procedures during the periods from January 1, 1990, to December 31, 1997 (Vancouver), and from September 1, 1995, to December 31, 1997 (Toronto). Outstanding outcome data were obtained by telephone. All women were managed according to standard protocols. Non-parametric analysis of continuous variables and Fisher’s exact test for categorical variables were used. Results: 61 women underwent transabdominal MFPR (n = 44) or ST (n = 17). Median maternal age: MFPR and ST 33.0 years; gestational age at reduction: MFPR 11.4, ST 20.2 weeks; procedure duration: MFPR 4, ST 10 min. 89% MFPR and 12% ST cases followed assisted reproduction. 7% MFPR and 18% ST pregnancies lost <24 weeks (n.s.). 97% MFPR and 83% ST non-reduced fetuses delivered alive. Median delivery gestational age: MFPR and ST 37 weeks. Conclusions: The results are similar to published series. This procedure has increased options for Canadian couples, offering the procedure ‘close to home’, reducing costs and, more importantly, the significant psychological morbidity following these procedures.</description><identifier>ISSN: 1015-3837</identifier><identifier>EISSN: 1421-9964</identifier><identifier>DOI: 10.1159/000020959</identifier><identifier>PMID: 10640877</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Adult ; Biological and medical sciences ; Birth control ; Canada ; Female ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Humans ; Induced abortion. Therapeutic abortion ; Medical sciences ; Pregnancy ; Pregnancy Outcome ; Pregnancy Reduction, Multifetal ; Pregnancy, Multiple ; Reproductive Techniques ; Retrospective Studies</subject><ispartof>Fetal diagnosis and therapy, 1999-11, Vol.14 (6), p.360-364</ispartof><rights>1999 S. Karger AG, Basel</rights><rights>2000 INIST-CNRS</rights><rights>Copyright 1999 S. Karger AG, Basel</rights><rights>Copyright (c) 1999 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c299t-da00406756c477773507c2b0609e22443e7067fd1d2403db5a791ec4a6dc3ac93</citedby><cites>FETCH-LOGICAL-c299t-da00406756c477773507c2b0609e22443e7067fd1d2403db5a791ec4a6dc3ac93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,2429,23930,23931,25140,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1248985$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10640877$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>von Dadelszen, Peter</creatorcontrib><creatorcontrib>Johnson, Jo-Ann M.</creatorcontrib><creatorcontrib>Farquharson, Duncan F.</creatorcontrib><creatorcontrib>Wilson, R. Douglas</creatorcontrib><creatorcontrib>Seaward, P. Gareth R.</creatorcontrib><title>Multifetal Pregnancy Reduction and Selective Termination: The Canadian Experience</title><title>Fetal diagnosis and therapy</title><addtitle>Fetal Diagn Ther</addtitle><description>Objective: To describe the experience of two Canadian referral centres with multifetal pregnancy reduction (MFPR) and selective termination (ST). Methods: Retrospective chart review of all MFPR and ST procedures during the periods from January 1, 1990, to December 31, 1997 (Vancouver), and from September 1, 1995, to December 31, 1997 (Toronto). Outstanding outcome data were obtained by telephone. All women were managed according to standard protocols. Non-parametric analysis of continuous variables and Fisher’s exact test for categorical variables were used. Results: 61 women underwent transabdominal MFPR (n = 44) or ST (n = 17). Median maternal age: MFPR and ST 33.0 years; gestational age at reduction: MFPR 11.4, ST 20.2 weeks; procedure duration: MFPR 4, ST 10 min. 89% MFPR and 12% ST cases followed assisted reproduction. 7% MFPR and 18% ST pregnancies lost <24 weeks (n.s.). 97% MFPR and 83% ST non-reduced fetuses delivered alive. Median delivery gestational age: MFPR and ST 37 weeks. Conclusions: The results are similar to published series. This procedure has increased options for Canadian couples, offering the procedure ‘close to home’, reducing costs and, more importantly, the significant psychological morbidity following these procedures.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Birth control</subject><subject>Canada</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Induced abortion. Therapeutic abortion</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy Reduction, Multifetal</subject><subject>Pregnancy, Multiple</subject><subject>Reproductive Techniques</subject><subject>Retrospective Studies</subject><issn>1015-3837</issn><issn>1421-9964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkMtLHEEQxhuJ-D7kHJBBQsDDaL-me9pbWJ9g8JHNeajtrtHR2Z61e0bif2-vu6iE1KWq-H5UfXyEfGX0gLHCHNJUnJrCrJANJjnLjVHyS5opK3JRCr1ONmN8SFSphVoj64wqmWa9QW5-DW3f1NhDm10HvPPg7Ut2i26wfdP5DLzLfmOLaXvGbIxh2niYK0fZ-B6zEXhwDfjs5O8MQ4Pe4jZZraGNuLPsW-TP6cl4dJ5fXp1djH5e5pYb0-cOKJVU6UJZqVOJgmrLJ1RRg5xLKVAntXbMcUmFmxSgDUMrQTkrwBqxRX4s7s5C9zRg7KtpEy22LXjshlgpI5liRidw7x_woRuCT94qzrlIDso5tL-AbOhiDFhXs9BMIbxUjFbzkKv3kBO7uzw4TKboPpGLVBPwfQlAtNDWIYXaxA-Oy9KUxYexRwh3GN710-Px26Nq5uoEffsvtLDyCrqjlhg</recordid><startdate>199911</startdate><enddate>199911</enddate><creator>von Dadelszen, Peter</creator><creator>Johnson, Jo-Ann M.</creator><creator>Farquharson, Duncan F.</creator><creator>Wilson, R. 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Douglas ; Seaward, P. Gareth R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c299t-da00406756c477773507c2b0609e22443e7067fd1d2403db5a791ec4a6dc3ac93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Birth control</topic><topic>Canada</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Induced abortion. Therapeutic abortion</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Pregnancy Reduction, Multifetal</topic><topic>Pregnancy, Multiple</topic><topic>Reproductive Techniques</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>von Dadelszen, Peter</creatorcontrib><creatorcontrib>Johnson, Jo-Ann M.</creatorcontrib><creatorcontrib>Farquharson, Duncan F.</creatorcontrib><creatorcontrib>Wilson, R. Douglas</creatorcontrib><creatorcontrib>Seaward, P. 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Douglas</au><au>Seaward, P. Gareth R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multifetal Pregnancy Reduction and Selective Termination: The Canadian Experience</atitle><jtitle>Fetal diagnosis and therapy</jtitle><addtitle>Fetal Diagn Ther</addtitle><date>1999-11</date><risdate>1999</risdate><volume>14</volume><issue>6</issue><spage>360</spage><epage>364</epage><pages>360-364</pages><issn>1015-3837</issn><eissn>1421-9964</eissn><abstract>Objective: To describe the experience of two Canadian referral centres with multifetal pregnancy reduction (MFPR) and selective termination (ST). Methods: Retrospective chart review of all MFPR and ST procedures during the periods from January 1, 1990, to December 31, 1997 (Vancouver), and from September 1, 1995, to December 31, 1997 (Toronto). Outstanding outcome data were obtained by telephone. All women were managed according to standard protocols. Non-parametric analysis of continuous variables and Fisher’s exact test for categorical variables were used. Results: 61 women underwent transabdominal MFPR (n = 44) or ST (n = 17). Median maternal age: MFPR and ST 33.0 years; gestational age at reduction: MFPR 11.4, ST 20.2 weeks; procedure duration: MFPR 4, ST 10 min. 89% MFPR and 12% ST cases followed assisted reproduction. 7% MFPR and 18% ST pregnancies lost <24 weeks (n.s.). 97% MFPR and 83% ST non-reduced fetuses delivered alive. Median delivery gestational age: MFPR and ST 37 weeks. Conclusions: The results are similar to published series. This procedure has increased options for Canadian couples, offering the procedure ‘close to home’, reducing costs and, more importantly, the significant psychological morbidity following these procedures.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>10640877</pmid><doi>10.1159/000020959</doi><tpages>5</tpages></addata></record> |
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| ispartof | Fetal diagnosis and therapy, 1999-11, Vol.14 (6), p.360-364 |
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| source | Karger Journal Archive Collection; MEDLINE; Karger Journals; Alma/SFX Local Collection |
| subjects | Adult Biological and medical sciences Birth control Canada Female Gestational Age Gynecology. Andrology. Obstetrics Humans Induced abortion. Therapeutic abortion Medical sciences Pregnancy Pregnancy Outcome Pregnancy Reduction, Multifetal Pregnancy, Multiple Reproductive Techniques Retrospective Studies |
| title | Multifetal Pregnancy Reduction and Selective Termination: The Canadian Experience |
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