Mardesic T, Müller P, Zetová L, Miková M, Stroufová A
Ustav pro péci o matku a dítĕ, Praha.
Cesk Gynekol. 1993 Jun;58(3):115-8.
Ten patients with multiple gestations, all resulting from in vitro fertilization, underwent multifoetal pregnancy reduction. In four cases transvaginal puncture was performed, six patients underwent transabdominal pregnancy reduction. Seven women delivered, all three pregnancy losses occurred in the transvaginal punction group--there was one early loss after the procedure and two abortions in the late second trimester. There were 5 sets of twins and two singletons were delivered. Multifoetal pregnancy reduction represents an important addition to the management of unplanned multifoetal pregnancy resulting from infertility treatment. The procedure is not without risks and these must be weighted against expected benefits.
十例多胎妊娠患者均因体外受精所致，接受了多胎妊娠减胎术。其中四例进行了经阴道穿刺，六例接受了经腹妊娠减胎术。七名女性分娩，三例妊娠丢失均发生在经阴道穿刺组——术后有一例早期丢失，孕中期晚期有两例流产。共分娩出5对双胞胎和2例单胎。多胎妊娠减胎术是不育治疗导致的意外多胎妊娠管理的一项重要补充。该手术并非没有风险，必须权衡这些风险与预期收益。
