Assisted reproductive therapy multifetal pregnancy reduction clinical analysis of 67 cases of fetal.docVIP

 PAGE \* MERGEFORMAT 16 Assisted reproductive therapy multifetal pregnancy reduction clinical analysis of 67 cases of fetal Study: European Jianping, Zhaowei E, Xu Yanwen, Li Jie, ZHOU Can-quan [Abstract] [Objective] multiple assisted reproductive treatment of early pregnancy by transvaginal B-guided selective fetal reduction effects on pregnancy outcome and to evaluate its safety. [Methods] January 1, 2004 ~ 2009 January 1 First Affiliated Hospital of Sun Yat-sen Center for Reproductive conceived by assisted reproductive treatment of 67 cases of multiple pregnancies, 7 ~ 11 weeks of pregnancy during ultrasound guided transvaginal B selective fetal reduction. The after fetal reduction, statistical The rate of vaginal bleeding, miscarriage rate, preterm delivery, low birth weight children, and with the same period 100 cases of fetal reduction of twins who, without comparison and analysis of the rate of preterm birth and low birth weight children were compared. [Results] Less abortion, 14.9% of the patients experienced vaginal bleeding, abdominal pain 1.5% of patients, the total abortion rate was 9.0%; in 67 patients, 46 patients have received delivery of 65 babies. The average gestational age at birth was 37.1 + - 2.5 (30 to 40.5) weeks, 11 patients less than 37 weeks gestation, preterm delivery rate was 23.9% (11/46), of which 6.5% of patients less than 32 weeks gestational age; in 65 newborns, The average birth weight was 2688 + - 651 (1 350 ~ 4 250) g, 35.4% (23/65) for low body weight children (lt;2 500 g), 6.2% of newborns with birth weight less than 1 500 g ; by Taiqian embryos and fetal reduction effect on the number of surplus embryos after the gestational age and newborn birth weight; twins reduced to a single child than those who are not twins fetal reduction compared to significantly improve pregnancy outcome. [Conclusion] B ultrasound guided multiple pregnancy early selective fetal reduction is safe and effective, can reduce the complications o