Chang Liu1,2, Xiaosheng Lu1, Haitao Xi1, Jialing Xu2, Weijue Su2 and Junzhao Zhao1*
1Department of Obstetrics and Gynecology, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, P.R. China
2Wenzhou Medical University, P. R. China
Aim: To evaluate the feasibility of one fetal reduction in IVF patients with dichorionic triplets.
Methods: The clinical data of thirty-one patients (Group A) in dichorionic triplet pregnancy undergoing monochorionic twin reduction via transvaginal ultrasound and another forty-eight patients (Group B) in monochorionic twin pregnancy were compared and analyzed retrospectively.
Results: No statistically significant differences were found in maternal age and BMI and basal hormone levels between two groups. The abortion rate and spontaneous reduction rate were comparable in two groups. The gestational days in group A (261.0 ± 16.8 vs. 251.5 ± 11.2; P<0.05) were significantly longer than in group B. The preterm birth rate (33.33% vs. 76.92%; P<0.05) and caesarean delivery rate (83.33% vs. 100.00%; P<0.05) in group A was significantly lower. The birth weight was heavier (2609.2 ± 502.6 vs. 2376.5 ± 400.2; P<0.05) and low birth weight infant rate (38.89% vs. 64.18%; P<0.05) were lower in group A, with significant differences. One pregnancy complication occurred in group A and four occurred in group B. One newborn in group A and three in group B were born with deformity, with no significant differences.
Conclusion: One fetal reduction in patients with IVF dichorionic triplets is a relatively safe and effective operation which does not increase the abortion rate after the operation, thus helping improve pregnancy outcomes.
Liu C, Lu X, Xi H, Xu J, Su W, Zhao J. The Value of Fetal Reduction in IVF Dichorionic Triplets: A Retrospective Controlled Study. Clin Surg. 2019; 4: 2445.