The initial number of fetuses in multiple pregnancy before reduction affects perinatal outcomes

Basit Öğe Kaydı
dc.contributor.authorAkkus, Fatih
dc.contributor.authorDogru, Sukran
dc.contributor.authorAtci, Asli Altinordu
dc.contributor.authorDal, Yusuf
dc.contributor.authorArici, Elifsena Canan Alp
dc.contributor.authorAcar, Ali
dc.date.accessioned2024-02-23T14:24:31Z
dc.date.available2024-02-23T14:24:31Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractObjective: In this study, we aimed to evaluate the perinatal outcomes of dichorionic diamniotic (DCDA) twin pregnancies reduced by the fetal reduction (FR) procedure and cases with continuing DCDA twin pregnancies without FR. Materials and Methods: FR performed in a university hospital in the last 10 years was evaluated. Pregnancies reduced to DCDA twin pregnancies by reduction from three or more pregnancies and pregnancies that started with DCDA twins and continued with DCDA twins were compared in terms of perinatal outcomes. In the subgroup analysis, those who were reduced from three-chorionic three-amniotic (TCTA) triplets to DCDA twins and those who were reduced to DCDA twin pregnancies from four or more were compared in terms of perinatal outcomes. Results: A total of 119 pregnant women were included in the study, 36 patients underwent FR, while 83 patients were DCDA twins who did not undergo FR. The groups were similar in terms of preterm delivery (p = 0.370). There was a higher rate of miscarriage (21.4% vs. 0.0%, p = 0.019) in the group that was reduced to DCDA twins from quadruplet and above pregnancies compared to the group that was reduced from TCTA triplets to DCDA twins. The gestational week at birth was lower in the group reduced to DCDA twins from quadruplets and above pregnancies (31.00 +/- 4.31 vs. 34.64 +/- 2.88, p = 0.019). Conclusion: The study's results show that the perinatal outcomes of multiple pregnancies with and without FR are the same As the number of reduced fetuses increases, the rates of preterm birth and miscarriage also increase.en_US
dc.identifier.doi10.1111/jog.15771
dc.identifier.endpage2670en_US
dc.identifier.issn1341-8076
dc.identifier.issn1447-0756
dc.identifier.issue11en_US
dc.identifier.pmid37574597en_US
dc.identifier.scopus2-s2.0-85167787354en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage2664en_US
dc.identifier.urihttps://doi.org/10.1111/jog.15771
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13983
dc.identifier.volume49en_US
dc.identifier.wosWOS:001050288700001en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal Of Obstetrics And Gynaecology Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectFetal Reductionen_US
dc.subjectObstetric Complicationsen_US
dc.subjectPremature Laboren_US
dc.subjectTwin Pregnancyen_US
dc.titleThe initial number of fetuses in multiple pregnancy before reduction affects perinatal outcomesen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu