PREGNANCY OUTCOME AFTER EARLY AMNIOTIC-FLUID LEAKAGE AFTER TRANSABDOMINAL MULTIFETAL REDUCTION

Citation
S. Lipitz et al., PREGNANCY OUTCOME AFTER EARLY AMNIOTIC-FLUID LEAKAGE AFTER TRANSABDOMINAL MULTIFETAL REDUCTION, Fertility and sterility, 65(5), 1996, pp. 1055-1058
Citations number
6
Categorie Soggetti
Obsetric & Gynecology
Journal title
ISSN journal
00150282
Volume
65
Issue
5
Year of publication
1996
Pages
1055 - 1058
Database
ISI
SICI code
0015-0282(1996)65:5<1055:POAEAL>2.0.ZU;2-5
Abstract
Objective: To assess the importance of amniotic fluid leakage in the e arly period (<14 days) after the fetal reduction procedure. Design: Pr ospective clinical study. Setting: Pregnant women who underwent fetal recuction to twins in an academic, tertiary perinatal department. Pati ents: Sixty triplet and 31 quadruplet pregnancies were identified befo re the ninth postmenstrual week of gestation. All patients underwent t ransabdominal multifetal pregnancy reduction to twins at 10 to 12 week s of gestation. Early postprocedure premature rupture of membranes was defined as rupture of membranes of the sac on which the multifetal pr egnancy reduction was performed within 14 days of the procedure. Inter ventions: Transabdominal multifetal pregnancy reduction from triplets and quadruplets to twins. Main Outcome Measure: Amniotic fluid leakage in the early period after fetal reduction. Results: Early FROM occurr ed in eight (13.3%) patients from the triplets group and in six (19.3% ) patients in the quadruplet group. Three of 60 (5.0%) patients from t he triplet group and 1 of 31 (3.2%) patients from the quadruplet group miscarried before 24 weeks gestation. However, none of these patients had had PROM during the early period after the procedure. Early FROM did not influence the incidence of premature contractions or delivery and the outcome of the liveborn infants. Two patients had a loss of on e twin within 2 weeks from the reduction procedure, and 59% (99/169) o f those who completed 24 gestational weeks delivered between 25 and 37 weeks. Conclusion: The presence of amniotic fluid leakage in the peri od close to the multifetal reduction procedure, although alarming, is not ominous for the remaining fetuses. We see no reason for any interv ention in these patients.