Multifetal pregnancy reduction: Evaluation of fetal growth in the remaining twins
OBJECTIVE: Our purpose was to study fetal growth after reduction of high-order multiple gestations to twins. STUDY DESIGN: Birth weight and gestational age data were collected for 236 triplet and greater multiple pregnancies reduced to twins (113 triplets, 89 quadruplets, and 34 quintuplets or above...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 1996-04, Vol.174 (4), p.1233-1240 |
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| container_title | American journal of obstetrics and gynecology |
| container_volume | 174 |
| creator | Depp, Richard Macones, George A. Rosenn, Marc F. Turzo, Elene Wapner, Ronald J. Weinblatt, Vivian J. |
| description | OBJECTIVE: Our purpose was to study fetal growth after reduction of high-order multiple gestations to twins.
STUDY DESIGN: Birth weight and gestational age data were collected for 236 triplet and greater multiple pregnancies reduced to twins (113 triplets, 89 quadruplets, and 34 quintuplets or above) and was compared with those of a control group of unreduced twins.
RESULTS: Rates of intrauterine growth restriction per pregnancy were significantly different between the nonreduced and all categories of reduced multifetal pregnancies. The incidence of intrauterine growth restriction was 19.4% in the nonreduced twins, 36.3% in pregnancies reduced from triplets, 41.6% in pregnancies reduced from quadruplets, and 50% from higher-order multiple gestations. There was a statistically significant trend toward increasing frequency of intrauterine growth restriction with increasing starting fetal number (
p = 0.04). The increase in intrauterine growth restriction was primarily accounted for by twin pairs with only one growth-restricted newborn.
CONCLUSION: Multifetal pregnancy reduction does not reduce the incidence of intrauterine growth restriction in the remaining fetuses to that of nonreduced twins. (AM J OBSTET GYNECOL 1996;174:1233-40.) |
| doi_str_mv | 10.1016/S0002-9378(96)70666-X |
| format | Article |
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STUDY DESIGN: Birth weight and gestational age data were collected for 236 triplet and greater multiple pregnancies reduced to twins (113 triplets, 89 quadruplets, and 34 quintuplets or above) and was compared with those of a control group of unreduced twins.
RESULTS: Rates of intrauterine growth restriction per pregnancy were significantly different between the nonreduced and all categories of reduced multifetal pregnancies. The incidence of intrauterine growth restriction was 19.4% in the nonreduced twins, 36.3% in pregnancies reduced from triplets, 41.6% in pregnancies reduced from quadruplets, and 50% from higher-order multiple gestations. There was a statistically significant trend toward increasing frequency of intrauterine growth restriction with increasing starting fetal number (
p = 0.04). The increase in intrauterine growth restriction was primarily accounted for by twin pairs with only one growth-restricted newborn.
CONCLUSION: Multifetal pregnancy reduction does not reduce the incidence of intrauterine growth restriction in the remaining fetuses to that of nonreduced twins. (AM J OBSTET GYNECOL 1996;174:1233-40.)</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/S0002-9378(96)70666-X</identifier><identifier>PMID: 8623851</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Birth Weight ; discordant growth ; discordant twins ; Diseases in Twins ; Embryonic and Fetal Development ; Female ; fetal growth determinants ; Fetal Growth Retardation - prevention & control ; fetal reduction procedure ; First trimester ; Humans ; intrauterine growth restriction ; multiple gestation ; Pregnancy ; Pregnancy Reduction, Multifetal ; Pregnancy, Multiple ; Twins</subject><ispartof>American journal of obstetrics and gynecology, 1996-04, Vol.174 (4), p.1233-1240</ispartof><rights>1996 Mosby, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-f146fceda64debe72e3bab88970cb5a8355e152f3c7faa143823b2218d8a7ff13</citedby><cites>FETCH-LOGICAL-c360t-f146fceda64debe72e3bab88970cb5a8355e152f3c7faa143823b2218d8a7ff13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S000293789670666X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8623851$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Depp, Richard</creatorcontrib><creatorcontrib>Macones, George A.</creatorcontrib><creatorcontrib>Rosenn, Marc F.</creatorcontrib><creatorcontrib>Turzo, Elene</creatorcontrib><creatorcontrib>Wapner, Ronald J.</creatorcontrib><creatorcontrib>Weinblatt, Vivian J.</creatorcontrib><title>Multifetal pregnancy reduction: Evaluation of fetal growth in the remaining twins</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>OBJECTIVE: Our purpose was to study fetal growth after reduction of high-order multiple gestations to twins.
STUDY DESIGN: Birth weight and gestational age data were collected for 236 triplet and greater multiple pregnancies reduced to twins (113 triplets, 89 quadruplets, and 34 quintuplets or above) and was compared with those of a control group of unreduced twins.
RESULTS: Rates of intrauterine growth restriction per pregnancy were significantly different between the nonreduced and all categories of reduced multifetal pregnancies. The incidence of intrauterine growth restriction was 19.4% in the nonreduced twins, 36.3% in pregnancies reduced from triplets, 41.6% in pregnancies reduced from quadruplets, and 50% from higher-order multiple gestations. There was a statistically significant trend toward increasing frequency of intrauterine growth restriction with increasing starting fetal number (
p = 0.04). The increase in intrauterine growth restriction was primarily accounted for by twin pairs with only one growth-restricted newborn.
CONCLUSION: Multifetal pregnancy reduction does not reduce the incidence of intrauterine growth restriction in the remaining fetuses to that of nonreduced twins. (AM J OBSTET GYNECOL 1996;174:1233-40.)</description><subject>Birth Weight</subject><subject>discordant growth</subject><subject>discordant twins</subject><subject>Diseases in Twins</subject><subject>Embryonic and Fetal Development</subject><subject>Female</subject><subject>fetal growth determinants</subject><subject>Fetal Growth Retardation - prevention & control</subject><subject>fetal reduction procedure</subject><subject>First trimester</subject><subject>Humans</subject><subject>intrauterine growth restriction</subject><subject>multiple gestation</subject><subject>Pregnancy</subject><subject>Pregnancy Reduction, Multifetal</subject><subject>Pregnancy, Multiple</subject><subject>Twins</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLxDAQgIMouj5-gtCT6KGaxzZNvYgs6wMUERW8hTSdrJE2XZN0Zf-9rV28epoZ5psZ5kPomOBzggm_eMEY07RguTgt-FmOOefp-xaaEFzkKRdcbKPJH7KH9kP4HEpa0F20KzhlIiMT9PzY1dEaiKpOlh4WTjm9TjxUnY62dZfJfKXqTg150ppkBBe-_Y4fiXVJ_IAebpR11i2S-G1dOEQ7RtUBjjbxAL3dzF9nd-nD0-397Poh1YzjmBoy5UZDpfi0ghJyCqxUpRBFjnWZKcGyDEhGDdO5UYpMmaCspJSISqjcGMIO0Mm4d-nbrw5ClI0NGupaOWi7IHPRWyI068FsBLVvQ_Bg5NLbRvm1JFgOKuWvSjl4kgWXvyrlez93vDnQlQ1Uf1Mbd33_auxD_-XKgpdBW3D9T9aDjrJq7T8XfgAXtoUY</recordid><startdate>19960401</startdate><enddate>19960401</enddate><creator>Depp, Richard</creator><creator>Macones, George A.</creator><creator>Rosenn, Marc F.</creator><creator>Turzo, Elene</creator><creator>Wapner, Ronald J.</creator><creator>Weinblatt, Vivian J.</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960401</creationdate><title>Multifetal pregnancy reduction: Evaluation of fetal growth in the remaining twins</title><author>Depp, Richard ; Macones, George A. ; Rosenn, Marc F. ; Turzo, Elene ; Wapner, Ronald J. ; Weinblatt, Vivian J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-f146fceda64debe72e3bab88970cb5a8355e152f3c7faa143823b2218d8a7ff13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Birth Weight</topic><topic>discordant growth</topic><topic>discordant twins</topic><topic>Diseases in Twins</topic><topic>Embryonic and Fetal Development</topic><topic>Female</topic><topic>fetal growth determinants</topic><topic>Fetal Growth Retardation - prevention & control</topic><topic>fetal reduction procedure</topic><topic>First trimester</topic><topic>Humans</topic><topic>intrauterine growth restriction</topic><topic>multiple gestation</topic><topic>Pregnancy</topic><topic>Pregnancy Reduction, Multifetal</topic><topic>Pregnancy, Multiple</topic><topic>Twins</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Depp, Richard</creatorcontrib><creatorcontrib>Macones, George A.</creatorcontrib><creatorcontrib>Rosenn, Marc F.</creatorcontrib><creatorcontrib>Turzo, Elene</creatorcontrib><creatorcontrib>Wapner, Ronald J.</creatorcontrib><creatorcontrib>Weinblatt, Vivian J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Depp, Richard</au><au>Macones, George A.</au><au>Rosenn, Marc F.</au><au>Turzo, Elene</au><au>Wapner, Ronald J.</au><au>Weinblatt, Vivian J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multifetal pregnancy reduction: Evaluation of fetal growth in the remaining twins</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1996-04-01</date><risdate>1996</risdate><volume>174</volume><issue>4</issue><spage>1233</spage><epage>1240</epage><pages>1233-1240</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><abstract>OBJECTIVE: Our purpose was to study fetal growth after reduction of high-order multiple gestations to twins.
STUDY DESIGN: Birth weight and gestational age data were collected for 236 triplet and greater multiple pregnancies reduced to twins (113 triplets, 89 quadruplets, and 34 quintuplets or above) and was compared with those of a control group of unreduced twins.
RESULTS: Rates of intrauterine growth restriction per pregnancy were significantly different between the nonreduced and all categories of reduced multifetal pregnancies. The incidence of intrauterine growth restriction was 19.4% in the nonreduced twins, 36.3% in pregnancies reduced from triplets, 41.6% in pregnancies reduced from quadruplets, and 50% from higher-order multiple gestations. There was a statistically significant trend toward increasing frequency of intrauterine growth restriction with increasing starting fetal number (
p = 0.04). The increase in intrauterine growth restriction was primarily accounted for by twin pairs with only one growth-restricted newborn.
CONCLUSION: Multifetal pregnancy reduction does not reduce the incidence of intrauterine growth restriction in the remaining fetuses to that of nonreduced twins. (AM J OBSTET GYNECOL 1996;174:1233-40.)</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>8623851</pmid><doi>10.1016/S0002-9378(96)70666-X</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 0002-9378 |
| ispartof | American journal of obstetrics and gynecology, 1996-04, Vol.174 (4), p.1233-1240 |
| issn | 0002-9378 1097-6868 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_78016125 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Birth Weight discordant growth discordant twins Diseases in Twins Embryonic and Fetal Development Female fetal growth determinants Fetal Growth Retardation - prevention & control fetal reduction procedure First trimester Humans intrauterine growth restriction multiple gestation Pregnancy Pregnancy Reduction, Multifetal Pregnancy, Multiple Twins |
| title | Multifetal pregnancy reduction: Evaluation of fetal growth in the remaining twins |
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