Selective abortion of one or more embryos or fetuses in a multiple gestation pregnancy. The usual goal is to improve the outcome for the remaining embryos or fetuses.
The condition of carrying two or more FETUSES simultaneously.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
Four individuals derived from four FETUSES that were fertilized at or about the same time, developed in the UTERUS simultaneously, and born to the same mother.
Three individuals derived from three FETUSES that were fertilized at or about the same time, developed in the UTERUS simultaneously, and born to the same mother.
The condition of carrying TRIPLETS simultaneously.
Results of conception and ensuing pregnancy, including LIVE BIRTH; STILLBIRTH; SPONTANEOUS ABORTION; INDUCED ABORTION. The outcome may follow natural or artificial insemination or any of the various ASSISTED REPRODUCTIVE TECHNIQUES, such as EMBRYO TRANSFER or FERTILIZATION IN VITRO.
Two individuals derived from two FETUSES that were fertilized at or about the same time, developed in the UTERUS simultaneously, and born to the same mother. Twins are either monozygotic (TWINS, MONOZYGOTIC) or dizygotic (TWINS, DIZYGOTIC).
Five individuals derived from five FETUSES that were fertilized at or about the same time, developed in the UTERUS simultaneously, and born to the same mother.
The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated as the time from the last day of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization.
In utero measurement corresponding to the sitting height (crown to rump) of the fetus. Length is considered a more accurate criterion of the age of the fetus than is the weight. The average crown-rump length of the fetus at term is 36 cm. (From Williams Obstetrics, 18th ed, p91)
Conditions or pathological processes associated with pregnancy. They can occur during or after pregnancy, and range from minor discomforts to serious diseases that require medical interventions. They include diseases in pregnant females, and pregnancies in females with diseases.
Methods for controlling genetic SEX of offspring.
Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)

Perinatal outcome after in-vitro fertilization-surrogacy. (1/91)

The perinatal outcome of pregnancies (both single and multiple) established after in-vitro fertilization (IVF)-surrogacy was evaluated and compared to the outcome of pregnancies that resulted from standard IVF. Analysis of medical records and a telephone interview with physicians, IVF-surrogates, and commissioning mothers were conducted to assess prenatal follow up and delivery care in several hospitals. 95 IVF-surrogates delivered 128 liveborn (65 singletons, 27 sets of twins and two sets of triplets). The commissioning mothers and the IVF-surrogates average ages were 37.7 +/- 5.0 and 30.4 +/- 4.7 years old respectively. IVF-surrogates carrying twin and triplet gestations delivered substantially earlier than those who gestated singleton pregnancies (36.2 +/- 0.4 versus 35.5 versus 38.7 +/- 0.3 weeks gestation respectively; P < 0.001). Twin newborns were significantly lighter than singleton infants born through IVF-surrogacy (2.7 +/- 0.06 versus 3.5 +/- 0.07 kg; P < 0.001). The incidence of low birth weight infants rose from 3.3% in the single births to 29.6% (P < 0.01) in the twins and to 33.3% in the triplets born through IVF-surrogacy. The incidence of prematurity was significantly greater in both twins delivered by IVF-surrogates (20.4%) and infertile IVF patients (58%). The occurrence of pregnancy-induced hypertension and bleeding in the third trimester was four to five times lower in the IVF-surrogates, independently of whether they were carrying multiples. The incidence of Caesarean section was 21.3% for singleton gestations, while two times higher in the IVF-surrogates carrying multiples (56.3%). Postpartum complications occurred in 6.3% of patients and the incidence of malformation was similar to those reported for the general population. The results provide general reassurance regarding perinatal outcome to couples who wish to pursue IVF-surrogacy.  (+info)

Reduction of multifetal pregnancies to twins does not increase obstetric or perinatal risks. (2/91)

Selective reduction in cases of multiple fetuses is used more often nowadays due to the increased number of multiple pregnancies resulting from assisted reproduction. In this retrospective study, we investigated whether twin pregnancies derived from fetal reduction carry a higher obstetric and perinatal risk compared to standard twin pregnancies. We found that the rate of miscarriage was 10.6% in the reduction group (n = 158) compared to 9.5% in the controls (n = 135). Mean gestational age at delivery was 35.7 weeks in the reduction group versus 35.1 weeks in the control group. Mean neonatal weight at birth was 2.260 g (800-3.750 g) in the reduction group compared to 2.240 g (540-3.360 g) in controls. Perinatal mortality rate was 49.3 per thousand after reduction and 42.0 per thousand in the control group. There was no statistically significant difference in any of the above parameters. Therefore, multifetal pregnancy reduction to twins does not appear to increase obstetric or perinatal risks.  (+info)

Successful non-surgical management of a heterotopic abdominal pregnancy following embryo transfer with cryopreserved-thawed embryos. (3/91)

Heterotopic pregnancy is an increasingly common complication of assisted reproductive technology. Abdominal pregnancy is a rare and life-threatening form of ectopic pregnancy that can present as the extrauterine portion of a heterotopic pregnancy. We present the case of a cryopreserved-thawed embryo transfer that resulted in a simultaneous intrauterine and abdominal pregnancy first recognized at 10 weeks gestation. Ultrasound-guided transvaginal injection of potassium chloride into the abdominal pregnancy resulted in asystole and spontaneous resorption of the ectopic fetus, while the intrauterine pregnancy continued and resulted in a liveborn vaginal delivery at full term. Selective embryo reduction using a non-surgical approach in a haemodynamically stable patient can therefore be considered in the management of heterotopic abdominal pregnancy if diagnosed relatively early.  (+info)

Social aspects in assisted reproduction. (4/91)

In-vitro fertilization (IVF) and assisted reproductive techniques have become common practice in many countries today, regulated by established legislation, regulations or by committee-set ethical standards. The rapid evolution and progress of these techniques have revealed certain social issues that have to be addressed. The traditional heterosexual couple, nowadays, is not considered by many as the only 'IVF appropriate patient' since deviations from this pattern (single mother, lesbians) have also gained access to these treatments. Genetic material donation, age limitation, selective embryo reduction, preimplantation genetic diagnosis, surrogacy and cloning are interpreted differently in the various countries, as their definition and application are influenced by social factors, religion and law. Financial and emotional stresses are also often described in infertile couples. Information as deduced from the world literature regarding IVF regulation, as well as about the existing religious, cultural and social behaviours towards these new technologies, is presented in this article in relation to the social aspects of assisted reproduction.  (+info)

Early transvaginal embryo aspiration: a safer method for selective reduction in high order multiple gestations. (5/91)

Assisted reproduction technologies and ovulation induction for treatment of infertility continue to cause high order multiple gestations. Increased perinatal morbidity and mortality, as well as maternal morbidity, may complicate these pregnancies. Selective fetal reduction, an acceptable therapeutic approach in these cases, is usually performed at or after the ninth week of gestation, with KCl injected in the vicinity of the fetal heart, and is associated with a total pregnancy loss rate of 11.7%. We report our experience with 90 women who underwent early (mean 7.5 weeks gestation, range 7. 0-8.0 weeks) transvaginal selective embryo aspiration. The mean number of viable embryos before and after reduction was 3.5 and 2.1 respectively. Six (6.7%) pregnancies were lost before 24 gestational weeks. One miscarriage occurred at the tenth gestational week. The other five pregnancies were aborted at 17.3-21.6 weeks gestation. Additional interventions were performed in three of these pregnancies: genetic amniocentesis in two cases and cervical suture in one case. In the subset of 39 patients with>/=4 embryos, only one (2.6%) pregnancy loss was recorded. This loss rate is significantly lower (P < 0.05) than the 15.3% loss rate in patients with >/=4 fetuses calculated from other work. Four (4.4%) other pregnancies were complicated by premature delivery (25-28 weeks gestation). Mean gestational age of delivered pregnancies in our series was 35.7 weeks. In conclusion, early transvaginal embryo aspiration is a simple and relatively safe method for multiple pregnancy reduction. The overall pregnancy loss rate associated with early embryo aspiration is similar to that of procedures performed at later gestational age, but is significantly lower when the initial number of embryos is four or greater.  (+info)

Obstetric outcome and psychological follow-up of pregnancies after embryo reduction. (6/91)

The obstetric outcome and psychological follow-up of the parents after embryo reduction performed at Sahlgrenska University Hospital between 1993 and 1997 in 13 women treated for infertility is described. A comparison is made with non-reduced multiple pregnancies, both spontaneous and multiple pregnancies after assisted reproduction technology. Altogether 10 triplets, two quadruplets and one quintuplet pregnancy underwent embryo reduction. The surgical procedure was performed in gestation week 7-8 by transvaginal, ultrasound-guided aspiration of embryonic tissue. The psychological follow-up included personal interviews and psychological evaluations by a Psychological General Well-being Scale (PGWB) and Beck's Depression Inventory (BDI). In 11 cases reduction was performed to twin pregnancies. In two cases of triplets after in-vitro fertilization and transfer of two embryos, reduction was performed on the monozygotic, monochorionic twins. No complete miscarriages occurred. Ten women delivered twins and three women delivered singletons. The mean gestation length was 40.4 weeks for singletons and 35.9 weeks for twins. The mean birthweight was 3411 g for singletons and 2392 g for twins. No complications related to the reduction were detected in the children.The psychological follow-up showed that the psychological well-being of the parents was good. However, the events around the reduction were experienced as chaotic and emotionally disturbing. One woman regretted the reduction. All couples emphasized that avoidance of high order pregnancies should be of primary importance. In conclusion, embryo reduction appears to improve the perinatal outcome of multiple pregnancies obtained after assisted reproduction technology. It is important that the surgical procedure is performed at a centre with experience of this type of intervention, by a limited number of surgeons and in a regulated manner. Psychologically, however, the intervention is traumatic and psychological management is essential for good final outcome.  (+info)

Maternal thyroid function in multifetal pregnancies before and after fetal reduction. (7/91)

The aim of the study was to investigate maternal thyroid function in pregnancy by monitoring the circulating concentrations of thyroid stimulating hormone (TSH), free thyroxine (fT(4)) and human chorionic gonadotrophin (hCG) in multifetal pregnancies before and after embryo reduction. We studied two groups of women: group 1 comprised singleton (n=12) and twin (n=12) pregnancies achieved after superovulation and in vitro fertilisation and embryo transfer (IVF-ET), and group 2 were multifetal pregnancies (n=39) undergoing selective fetal reduction to twin pregnancies. Blood samples were obtained initially at 10-12 weeks gestation (before fetal reduction) and then 4 and 8 weeks afterwards. Before fetal reduction, the circulating concentrations of fT(4) in multifetal pregnancies were significantly greater than those in singleton or twin pregnancies (singleton, mean 16.49 pmol/l (interquartile range 14.09-18.13 pmol/l); twins, 15.84 (15.36-16.95 pmol/l); multifetal, 21.08 (16. 64-26.29 pmol/l); P<0.005 for singleton and twins), and in a multiple regression analysis, fT(4) was significantly related to the number of fetuses (F=23.739, P=0.0001), but not to hCG. After fetal reduction to twins, the circulating concentrations of fT(4) in multifetal pregnancies decreased progressively towards those in control twin pregnancies, but remained significantly greater at both 4 (P=0.003) and 8 weeks (P=0.050). This pattern of change in the concentrations of fT(4) is similar to, but lags behind, that of hCG, which attains twin levels 4 weeks after fetal reduction. This may represent a delayed thyroid response to the decreasing concentrations of hCG, but the alternative is that the maternal thyroid function is controlled by a fetal factor in addition to hCG.  (+info)

Termination of pregnancy after conception with donor oocytes and donor spermatozoa: case report. (8/91)

Two couples, each suffering from longstanding primary subfertility due to severe oligoasthenoteratozoospermia in the male partner and perimenopause in the female, were referred to Bourn Hall Clinic for assisted conception treatment. Both couples received independent counselling prior to being accepted onto our programme. Both women conceived following embryo transfer. The embryos were created from (separate) donor oocytes and donor spermatozoa, and three and two embryos were transferred respectively. The first recipient conceived a triplet pregnancy, while the second conceived a twin pregnancy. Both felt unable to cope with their multiple pregnancies and declined further counselling. Both were offered elective fetal reduction; however, both declined and both decided to terminate their pregnancies. Both patients underwent termination of pregnancy, despite being advised against it. The reasons couples may opt for termination of their much-wanted pregnancies, after a protracted period of infertility, intensive and expensive infertility treatment and despite the counselling they receive before, during and after their treatment, are discussed.  (+info)

Pregnancy reduction, multifetal refers to the medical procedure used to decrease the number of fetuses in a multiple pregnancy, such as twins or higher-order multiples (triplets, quadruplets, etc.). This is also known as selective reduction or selective termination. The goal of this procedure is to reduce the risk of complications associated with multifetal pregnancies, including preterm labor, low birth weight, and pregnancy loss.

The procedure typically involves an ultrasound-guided injection of a medication that stops the development of one or more fetuses. This is usually performed during the first trimester of pregnancy. The decision to undergo pregnancy reduction is often based on a variety of factors, including maternal age, medical history, and personal preferences. It's important to note that this procedure carries its own risks, such as infection, bleeding, and loss of the remaining fetuses, so it should be carefully considered and discussed with healthcare providers.

Multiple pregnancy is a type of gestation where more than one fetus is carried simultaneously in the uterus. The most common forms of multiple pregnancies are twins (two fetuses), triplets (three fetuses), and quadruplets (four fetuses). Multiple pregnancies can occur when a single fertilized egg splits into two or more embryos (monozygotic) or when more than one egg is released and gets fertilized during ovulation (dizygotic). The risk of multiple pregnancies increases with the use of assisted reproductive technologies, such as in vitro fertilization. Multiple pregnancies are associated with higher risks for both the mother and the fetuses, including preterm labor, low birth weight, and other complications.

Pregnancy is a physiological state or condition where a fertilized egg (zygote) successfully implants and grows in the uterus of a woman, leading to the development of an embryo and finally a fetus. This process typically spans approximately 40 weeks, divided into three trimesters, and culminates in childbirth. Throughout this period, numerous hormonal and physical changes occur to support the growing offspring, including uterine enlargement, breast development, and various maternal adaptations to ensure the fetus's optimal growth and well-being.

Quadruplets are defined in medicine as a type of multiple birth where four offspring are produced from the same pregnancy. This occurs when a single fertilized egg divides into four embryos, or more rarely, when four separate eggs are each fertilized by different sperm. Quadruplets face higher risks of preterm birth and other complications compared to singleton pregnancies.

In medical terms, triplets are a type of multiple pregnancy, where three offsprings (fetuses) develop simultaneously in the uterus of a single pregnant woman. This occurs when a woman releases more than one egg during ovulation, and all three eggs get fertilized by separate sperm cells. Triplets can also occur through the use of assisted reproductive technologies such as in vitro fertilization (IVF) where multiple embryos are transferred into the uterus.

Triplet pregnancies carry a higher risk of complications for both the mother and the offsprings compared to singleton or twin pregnancies, including preterm labor, low birth weight, and developmental issues. As such, they often require close monitoring and specialized care throughout the pregnancy.

Triplet pregnancy refers to a multiple gestation involving three fetuses. It can result from the fertilization of three separate eggs (trizygotic) or the division of one fertilized egg into three identical embryos (monozygotic). Triplet pregnancies are relatively rare and occur in about 1 in 8,000 deliveries. They carry a higher risk of complications for both the mother and the fetuses compared to singleton pregnancies, including preterm labor, low birth weight, and developmental abnormalities. Close monitoring and specialized care from healthcare professionals are essential throughout the pregnancy to ensure the best possible outcomes for all involved.

Pregnancy outcome refers to the final result or status of a pregnancy, including both the health of the mother and the newborn baby. It can be categorized into various types such as:

1. Live birth: The delivery of one or more babies who show signs of life after separation from their mother.
2. Stillbirth: The delivery of a baby who has died in the womb after 20 weeks of pregnancy.
3. Miscarriage: The spontaneous loss of a pregnancy before the 20th week.
4. Abortion: The intentional termination of a pregnancy before the fetus can survive outside the uterus.
5. Ectopic pregnancy: A pregnancy that develops outside the uterus, usually in the fallopian tube, which is not viable and requires medical attention.
6. Preterm birth: The delivery of a baby before 37 weeks of gestation, which can lead to various health issues for the newborn.
7. Full-term birth: The delivery of a baby between 37 and 42 weeks of gestation.
8. Post-term pregnancy: The delivery of a baby after 42 weeks of gestation, which may increase the risk of complications for both mother and baby.

The pregnancy outcome is influenced by various factors such as maternal age, health status, lifestyle habits, genetic factors, and access to quality prenatal care.

In the field of medicine, twins are defined as two offspring produced by the same pregnancy. They can be either monozygotic (identical) or dizygotic (fraternal). Monozygotic twins develop from a single fertilized egg that splits into two separate embryos, resulting in individuals who share identical genetic material. Dizygotic twins, on the other hand, result from the fertilization of two separate eggs by two different sperm cells, leading to siblings who share about 50% of their genetic material, similar to non-twin siblings.

Quintuplets are defined in medical terms as a rare type of multiple pregnancy where a woman gives birth to five offspring at once. This occurs when one fertilized egg divides into five embryos, a phenomenon known as monozygotic quintuplets. Each baby shares the same genetic material and may be of the same sex. Quintuplets have a higher risk of preterm birth and other complications compared to singleton pregnancies. The survival rate for quintuplets has improved significantly over time due to advancements in medical technology and neonatal care.

Gestational age is the length of time that has passed since the first day of the last menstrual period (LMP) in pregnant women. It is the standard unit used to estimate the age of a pregnancy and is typically expressed in weeks. This measure is used because the exact date of conception is often not known, but the start of the last menstrual period is usually easier to recall.

It's important to note that since ovulation typically occurs around two weeks after the start of the LMP, gestational age is approximately two weeks longer than fetal age, which is the actual time elapsed since conception. Medical professionals use both gestational and fetal age to track the development and growth of the fetus during pregnancy.

Crown-rump length (CRL) is a medical measurement used in obstetrics to estimate the age of a developing fetus. It refers to the length from the top of the head (crown) to the bottom of the buttocks (rump). This measurement is typically taken during an ultrasound examination in the first trimester of pregnancy, between 8 and 13 weeks of gestation.

The CRL is used to calculate the estimated due date and to monitor fetal growth and development. It can also help identify potential issues or abnormalities in fetal development. As the pregnancy progresses, other measurements such as head circumference, abdominal circumference, and femur length are used to assess fetal growth and development.

Pregnancy complications refer to any health problems that arise during pregnancy which can put both the mother and the baby at risk. These complications may occur at any point during the pregnancy, from conception until childbirth. Some common pregnancy complications include:

1. Gestational diabetes: a type of diabetes that develops during pregnancy in women who did not have diabetes before becoming pregnant.
2. Preeclampsia: a pregnancy complication characterized by high blood pressure and damage to organs such as the liver or kidneys.
3. Placenta previa: a condition where the placenta covers the cervix, which can cause bleeding and may require delivery via cesarean section.
4. Preterm labor: when labor begins before 37 weeks of gestation, which can lead to premature birth and other complications.
5. Intrauterine growth restriction (IUGR): a condition where the fetus does not grow at a normal rate inside the womb.
6. Multiple pregnancies: carrying more than one baby, such as twins or triplets, which can increase the risk of premature labor and other complications.
7. Rh incompatibility: a condition where the mother's blood type is different from the baby's, which can cause anemia and jaundice in the newborn.
8. Pregnancy loss: including miscarriage, stillbirth, or ectopic pregnancy, which can be emotionally devastating for the parents.

It is important to monitor pregnancy closely and seek medical attention promptly if any concerning symptoms arise. With proper care and management, many pregnancy complications can be treated effectively, reducing the risk of harm to both the mother and the baby.

"Sex preselection," also known as "gender selection" or "family balancing," is the process of influencing the sex of an offspring before birth. It can be achieved through various methods, including preimplantation genetic diagnosis (PGD) in conjunction with in vitro fertilization (IVF), sperm sorting techniques, and embryo manipulation.

PGD is a technique where one or more cells are taken from an embryo created through IVF and tested for genetic disorders or chromosomal abnormalities. During this process, the sex of the embryo can also be determined. Only embryos of the desired sex are then transferred to the uterus for implantation.

Sperm sorting techniques involve separating X-chromosome-bearing sperm (which produce female offspring) from Y-chromosome-bearing sperm (which produce male offspring). The sorted sperm can then be used for artificial insemination or IVF.

It's important to note that sex preselection is a controversial topic due to ethical considerations and legal restrictions in some countries.

An encyclopedia is a comprehensive reference work containing articles on various topics, usually arranged in alphabetical order. In the context of medicine, a medical encyclopedia is a collection of articles that provide information about a wide range of medical topics, including diseases and conditions, treatments, tests, procedures, and anatomy and physiology. Medical encyclopedias may be published in print or electronic formats and are often used as a starting point for researching medical topics. They can provide reliable and accurate information on medical subjects, making them useful resources for healthcare professionals, students, and patients alike. Some well-known examples of medical encyclopedias include the Merck Manual and the Stedman's Medical Dictionary.

... to a twin or singleton pregnancy. The procedure is also called multifetal pregnancy reduction. The procedure is most commonly ... "Opinion Number 719: Multifetal Pregnancy Reduction". American College of Obstetricians and Gynecologists' Committee on Ethics. ... Zipori, Y; Haas, J; Berger, H; Barzilay, E (September 2017). "Multifetal pregnancy reduction of triplets to twins compared with ... Običan, S; Brock, C; Berkowitz, R; Wapner, RJ (September 2015). "Multifetal Pregnancy Reduction". Clinical Obstetrics and ...
Multifetal Pregnancy Reduction: Perinatal and Fiscal Outcomes. Am J Obstet Gynecol, 182(6):1575-80, 2000. Ransom SB, Dombrowski ... pregnancy outcome disparities, and women's health. His most recent book was released in 2023 and is titled"The Healthcare ...
Multifetal pregnancy reduction is the reduction of one or more embryos from the bearing woman. Selective reduction usually ... that being the choice to terminate a pregnancy due to desire or pregnancy risks. Overall, most multifetal pregnancy reductions ... multifetal pregnancy reduction raises some ethical questions. The main argument is similar to abortion ethics in reduction of ... Selective reduction is the practice of reducing the number of fetuses in a multiple pregnancy; it is also called "multifetal ...
1993). "First-Trimester Transabdominal Multifetal Pregnancy Reduction: A Report of Two Hundred Completed Cases". American ... The reduction procedure is usually performed during the first trimester of pregnancy. It often follows detection of a ... The most common method of selective reduction-a procedure to reduce the number of fetuses in a multifetus pregnancy-is ... "Reduction of the number of embryos in a multiple pregnancy: quintuplet to triplet". Fertility and Sterility. 48 (2): 326-327. ...
... and multi-fetal pregnancy reduction. He is a regular speaker at the annual Jerusalem Center for Research Yarchei Kallah on ...
... or fetal reduction), the practice of reducing the number of fetuses in a multifetal pregnancy Reduction (orthopedic surgery), a ... Breast reduction Jaw reduction Weight loss In epidemiology: Relative risk reduction, the absolute risk reduction by the control ... Reduction, reduced, or reduce may refer to: Reduction (chemistry), part of a reduction-oxidation (redox) reaction in which ... Organic redox reaction, a redox reaction that takes place with organic compounds Ore reduction: see smelting Reduction ( ...
... pregnancy reduction, multifetal MeSH E04.520.050.600 - pregnancy reduction, multifetal MeSH E04.520.100 - cerclage, cervical ...
... history of pre-eclampsia in a previous pregnancy, or multifetal gestation) showed no significant protective effect. The reason ... Taking aspirin is associated with a 1 to 5% reduction in pre-eclampsia and a 1 to 5% reduction in premature births in women at ... Hypertensive disorders of pregnancy (which include pre-eclampsia) are one of the most common causes of death due to pregnancy. ... Also, subsequent pregnancies by the same father had a reduced risk of pre-eclampsia while subsequent pregnancies by a different ...
... but results in fewer multiple pregnancies per ongoing pregnancy regardless if the technique is unilaterally or bilaterally ... After ovarian follicles and stroma are destroyed, there is a reduction in these hormone levels. The procedure results in a ... Ovarian drilling has lower rates of ovarian hyperstimulation syndrome and of multi-fetal gestation. The advantages of the ... The most plausible theory states that the reduction of these hormone concentrations leads to an increase in the secretion of ...
"Opinion Number 719: Multifetal Pregnancy Reduction". American College of Obstetricians and Gynecologists' Committee on Ethics. ... Zipori Y, Haas J, Berger H, Barzilay E (September 2017). "Multifetal pregnancy reduction of triplets to twins compared with non ... 13-42 weeks of pregnancy) found a reduction in the number of preterm births in women with bacterial vaginosis. These ... "Randomised clinical trials of fish oil supplementation in high risk pregnancies. Fish Oil Trials In Pregnancy (FOTIP) Team". ...
... undiagnosed abnormal vaginal bleeding unrelated to pregnancy, cholestatic jaundice of pregnancy, liver tumors or active liver ... The metabolism of hydroxyprogesterone caproate is by reduction, hydroxylation, and conjugation, including glucuronidation, ... "Pharmacokinetics of 17-hydroxyprogesterone caproate in multifetal gestation". American Journal of Obstetrics and Gynecology. ... ISBN 978-3-13-518901-7. Progesterone itself is now almost never used for the management of any imminent threat to pregnancy. ...
"Pregnancy Reduction, Multifetal" by people in this website by year, and whether "Pregnancy Reduction, Multifetal" was a major ... Pregnancy Reduction, Multifetal*Pregnancy Reduction, Multifetal. *Multifetal Pregnancy Reduction. *Multifetal Pregnancy ... "Pregnancy Reduction, Multifetal" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH ( ... Below are the most recent publications written about "Pregnancy Reduction, Multifetal" by people in Profiles. ...
Your optionsCarry a pregnancy with three or more fetuses.Have multifetal pregnancy reduction. This procedure reduces the number ...
... to a twin or singleton pregnancy. The procedure is also called multifetal pregnancy reduction. The procedure is most commonly ... "Opinion Number 719: Multifetal Pregnancy Reduction". American College of Obstetricians and Gynecologists Committee on Ethics. ... Zipori, Y; Haas, J; Berger, H; Barzilay, E (September 2017). "Multifetal pregnancy reduction of triplets to twins compared with ... Običan, S; Brock, C; Berkowitz, R; Wapner, RJ (September 2015). "Multifetal Pregnancy Reduction". Clinical Obstetrics and ...
The term multifetal gestation includes twins, triplets, and higher-order multiples. Multiple births are increasing in the ... Pregnancy outcome of early multifetal pregnancy reduction: triplets to twins versus triplets to singletons. Reprod Biomed ... encoded search term (Multifetal Pregnancy) and Multifetal Pregnancy What to Read Next on Medscape ... International, collaborative experience of 1789 patients having multifetal pregnancy reduction: a plateauing of risks and ...
Fetal reduction is a clinical procedure developed for reducing the number of fetuses in multifetal pregnancies in order to ... Three aims may be offered for fetal reduction: (1) pregnancy preservation, and prevention of and decreasing risks of multifetal ... high-end multifetal reduction); (2) eliminating fetuses bearing certain kind of illnesses (selective reduction); and (3) just ... Science considers using technologies for treatment of infertility as the important cause of multifetal pregnancies. ...
Multifetal Pregnancy Reduction: "Patient Centered Optimization of Pregnancy Outcomes and Family Planning Goals" ... Cannabis Use in Pregnancy: Updated Evidence and Tools for Harm Reduction. Kimberly Ryan, M.D. and Kristin Prewitt, M.D., M.P.H. ... Climate Change and Pregnancy: An Overview. December 2, 2022. Nicole Smith, M.D., M.P.H.. Substance Use Disorder in Pregnancy: ... A Rare Case of a Hepatic Ectopic Pregnancy. October 15, 2021. Kim Ryan, M.D. and Jasper Bash, M.D.. Dose-dependent Effect of ...
Symmetric truncal aplasia cutis congenita following multifetal reduction of a sextuplet pregnancy. J Pediatr. 2008 Dec. 153(6): ... Review of antithyroid drug use during pregnancy and report of a case of aplasia cutis. Thyroid. 1994 Spring. 4(1):129-33. [QxMD ...
Intracranial KCI Injection for Multifetal Pregnancy Reduction. Researchers from the Department of Obstetrics and Gynecology at ... What Does the Blood Pregnancy Test Reveal?. A pregnancy test is run by the obstetrician during the first office visit to ... Implanting more than one embryo was a way to ensure at least one of them would result in full-term pregnancy; often more than ... Multiple pregnancy and birth carry significant risks to the children and they also carry considerable risks for mothers. ... ...
Multi-fetal pregnancy reduction is a technique performed in less than 1 % of infertility patients. This technique that reduces ... Dealing with the decision of whether or not to undergo multi-fetal pregnancy reduction can be a traumatic experience. Couples ... Multi-fetal pregnancy reduction is usually performed between 9 and 12 weeks gestation. ... It is usually helpful for couples considering multi-fetal reduction to undergo professional counseling prior to undergoing the ...
"Selective Reduction of Multifetal Pregnancies in the First Trimester." New England Journal of Medicine, April 21, 1988, pages ... most pregnancy reductions are carried out to kill one of a set of twins. Even in such apparently simple cases, pregnancy ... "Reduction of the Number of Embryos in a Multiple Pregnancy: From Quintuplet to Triplet." Fertility and Sterility, August 1987, ... The pregnancy reduction procedure has been in use for more than a decade now and is now generally standardized. A needle is ...
Couples with high-risk pregnancies face the selective reduction dilemma. ... ROOM FOR WOMB MATES: Selective reduction, or multifetal pregnancy reduction, would mean that at around 11 weeks gestation, a ... Since pregnancy can be difficult to achieve on the first try, the adoptive couple receives at least nine embryos-enough for six ... "I pray that I will be forgiven by God and would like to get the word out to anyone who is considering selective reduction that ...
Mount Sinais Maternal Fetal Medicine team includes multiple sub-specialists who are experts in high-risk pregnancies and ... We also have special expertise in caring for multiple gestations, including performing multifetal pregnancy reduction, ... Our team takes care of high-risk pregnancies before pregnancy begins through the early days following birth. We can also work ... We care for pregnancies with complicated maternal medical conditions, fetal anomalies, and other pregnancy-related ...
Multifetal pregnancies: Considerations in couples with a genetic problem ByUlrike Mau. ... Multiple pregnancy ByBrian A. Lieberman. Abstract chapter 5. ,. 10 pages. Multifetal pregnancies: reduction or prevention? By ...
Multifetal pregnancy reduction (or so-called selective abortion) is only allowed if the prospect of carrying a high-order ... pregnancy (i.e., twins, triplets, or more) to viability is very small. It is also allowed if the health or life of the mother ...
... of Elective Compared to Non-Elective Fetal Reduction by Radiofrequency Ablation in Monochorionic Multifetal Pregnancies. ... Should Twin-Specific Growth Charts Be Used to Assess Fetal Growth in Twin Pregnancies?. Hiersch, L., Barrett, J., Fox, N. S., ... National and international guidelines on the management of twin pregnancies: a comparative review. Weitzner, O., Barrett, J., ... The 7 Best Calcium Supplements for Pregnancy, According to a Dietitian. Nathan Fox ...
Multifetal pregnancy, reduction, purpose, process, and risk. What is multifetal pregnancy? When there is more than one baby is ... this is called multifetal pregnancy. Such pregnancies are linked with a higher risk for both mother and child, and this risk ...
Complications of Monochorionic Multiple Pregnancy: Multifetal Reduction in Multiple Pregnancy. * from Section 2: - Fetal ... Complications of Monochorionic Multiple Pregnancy: Fetal Growth Restriction in Monochorionic Twins. * from Section 2: - Fetal ... Complications of Monochorionic Multiple Pregnancy: Twin-to-Twin Transfusion Syndrome. * from Section 2: - Fetal Disease: ... Complications of Monochorionic Multiple Pregnancy: Twin Reversed Arterial Perfusion Sequence. * from Section 2: - Fetal Disease ...
Hypertensive States of Pregnancy. Preeclampsia occurs in about 6% of the general population; the incidence varies with ... and women with multifetal pregnancy) should undergo baseline testing early in the pregnancy. Such tests make it easier later in ... However, randomized trials on women considered to be at high risk for developing preeclampsia have suggested a reduction in the ... Hypertensive States of Pregnancy. *Hypertensive States of Pregnancy *Preeclampsia *Eclampsia L Pathophysiology L Clinical ...
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Posts about Pregnancy and Delivery written by Aditi Malhotra ... Also the facilities like Multifetal Pregnancy Reduction, ... Pregnancy and Delivery, Pregnancy Care, Pregnancy Care Tips, Rainbow Childrens Hospital, Self Care, Woman and Pregnancy, Woman ... Tag: Pregnancy and Delivery Painless delivery is not a myth anymore..!!. Posted on December 27, 2017. January 11, 2018. by ... the women who have high-risk pregnancy as well the ones with normal pregnancy. ...
Multifetal Pregnancy Reduction(MFPR): A procedure used to decrease the number of foetuses in a multiple pregnancy and improve ... Ectopic pregnancy: This is also called a tubal pregnancy because the pregnancy is implanted outside the uterus; most often in ... Pregnancy (clinical): Pregnancy observed by the presence of a gestational sac on ultrasound. It can also be detected if the ... Beta hCG Test - This is a blood test undertaken to test for pregnancy or measure levels of hCG in early pregnancy. HCG is Human ...
Multifetal pregnancy fetal reduction. Santosh Gupta•2.6K. views. SCAR ECTOPIC. Niranjan Chavan•4.8K. views ... Cardiovascular diseases during pregnancy, european guidlines 2011Basem Enany1.8K. views•90. slides ... Preventive pharmacotherapy  All the women planning a pregnancy should be given folic acid in dose 0.4mg/day for at least one ... Optimising lupus management in pregnancy.Faculty of Medicine, Ain Shams University1.8K. views•41. slides ...
Multifetal Pregnancy Reduction 100% * Observational Studies 5% * Ovulation Induction 7% * Parturition 18% ... Spontaneous fetal reduction in multiple gestations assessed by transvaginal ultrasound. ZEEV BLUMENFELD, MARTHA DIRNFELD, HAIM ... Dive into the research topics of Spontaneous fetal reduction in multiple gestations assessed by transvaginal ultrasound. ...
Multifetal Pregnancy Reduction 26% * Placentation 21% * Pregnancy 20% * Embryo Transfer 19% * Pregnancy Complications 19% ...
Elective termination of pregnancy remains common in the United States and worldwide, and controversy and debate are ongoing. ... Amniocentesis after multifetal pregnancy reduction: is it safe?. Am J Obstet Gynecol. 2000 Apr. 182(4):962-5. [QxMD MEDLINE ... Genetic amniocentesis after multifetal pregnancy reduction. Am J Obstet Gynecol. 1999 Jan. 180(1 Pt 1):226-30. [QxMD MEDLINE ... Multifetal pregnancy reduction: perinatal and fiscal outcomes. Am J Obstet Gynecol. 2000 Jun. 182(6):1575-80. [QxMD MEDLINE ...
Multifetal pregnancy reduction: A procedure used to decrease the number of fetuses a woman carries and improve the chances that ... Biochemical pregnancy: A pregnancy diagnosed by the presence of the pregnancy hormone HCG, in the blood, but no fetus develops ... Clinical pregnancy: A pregnancy confirmed by an increasing level of the pregnancy hormone hCG and the presence of a gestational ... Ectopic Pregnancy: A pregnancy in the fallopian tube, or elsewhere outside the lining of the uterus. Unfortunately, it cannot ...
Retain singleton or twins? Multifetal pregnancy reduction strategies intriplet pregnancies with monochorionic twins. Li, R.; ... M005 ANALYSIS OF CLINICAL FACTORS ON PREGNANCY LOSS DURING IVF-ETTREATMENT. Wang, H.;Qiao, J.;Liu, P.;Ma, C.;Chen, X.;Wang, Y.; ... Prevention of vertical hepatitis B transmission by hepatitis Bimmunoglobulin in the third trimester of pregnancy. Xiao, X.M.;Li ...
... to improve IVF success and reduce the risk of having a pregnancy with twins. ... The procedure is called multi-fetal pregnancy reduction (MPR). However, MPR may not be an acceptable alternative for many ... of IVF pregnancies result in a twin pregnancy, and another 3% to 4% result in a triplet or a higher order (four or more ... Early in pregnancy, the number of fetuses noted on ultrasound can be decreased in order to increase the chances of having a ...
Pregnancies undergoing multifetal reduction or fetal surgery were excluded. RESULTS: Two hundred and six triplet pregnancies ... RESULTS: A significant reduction was observed in preterm pre-eclampsia (OR 0.47; 95% CI: 0.30-0.73), early-onset (. ... CONCLUSION: During pregnancy, identification of the type antibodies in AIHA is crucial to estimate the potential maternal and ... A subsequent pregnancy with ultrasound anomalies was also affected. The proband presented the core phenotypic features of GLYT1 ...
Ten percent of all pregnancies are complicated by hypertension. Eclampsia and preeclampsia account for about half of these ... multifetal gestations or molar pregnancy). ... a reduction in preterm delivery rates, and a reduction in fetal ... A future seizure disorder was more likely after a pregnancy with eclampsia (4.58/10,000 person-years) than a pregnancy without ... Pregnancy outcome after eclampsia and long-term prognosis. Am J Obstet Gynecol. 1992 Jun. 166(6 Pt 1):1757-61; discussion 1761- ...
  • Selective abortion of one or more embryos or fetuses in a multiple gestation pregnancy. (sdsu.edu)
  • The term multifetal gestation includes twins, triplets, and higher-order multiples. (medscape.com)
  • Multiple gestation refers to a pregnancy in which two or more fetuses are present in the womb. (sdfertility.com)
  • In general, the risks of complications due to premature delivery are significantly less once the pregnancy reaches 32-34 weeks gestation. (sdfertility.com)
  • Maternal risks due to multiple gestation include premature labor, premature delivery, pregnancy-induced high blood pressure or pre-eclampsia (toxemia), diabetes, and vaginal/uterine hemorrhage. (sdfertility.com)
  • Multi-fetal pregnancy reduction is usually performed between 9 and 12 weeks gestation. (sdfertility.com)
  • Selective reduction, or multifetal pregnancy reduction, would mean that at around 11 weeks' gestation, a specialist would insert a needle into a fetal heart and inject potassium chloride, causing immediate death. (christianitytoday.com)
  • However, aspirin might be associated with an increased risk of peripartum bleeding, which could be mitigated by discontinuing aspirin before term (37 weeks of gestation) and by an accurate selection of individuals at higher risk of preeclampsia in the first trimester of pregnancy. (bvsalud.org)
  • Here we present a case of conjoined twins in a triplet pregnancy diagnosed at 13 of weeks gestation. (hindawi.com)
  • The pregnancy continued without complication, and a healthy male infant was delivered by low forceps for maternal exhaustion weighing 3590 grams at 40 of weeks gestation. (hindawi.com)
  • 27 weeks pregnant with multiples: your babies continue to develop fat "Multifetal gestation: Twin, triplet, and higher order multifetal pregnancies. (jaaski.ru)
  • Researchers and authors from the Department of Obstetrics and Gynecology with Washington University report women who experience vaginal bleeding early in a twin pregnancy may be at increased risk of pregnancy complications. (babymed.com)
  • We care for pregnancies with complicated maternal medical conditions, fetal anomalies, and other pregnancy-related complications or high-risk situations. (mountsinai.org)
  • Maternal medical conditions that carry significant risks in pregnancy include severe diabetes with retinopathy, cardiac or renal complications, advanced cardiac or respiratory disease, renal failure, sickle cell disease, autoimmune disease, and psychiatric disease. (medscape.com)
  • The main reason that MPR should be considered is that multiple pregnancy leads to an increased risk of complications for both the fetus and the mother. (vcrmed.com)
  • Please view this important video that addresses the potential complications associated with multiple pregnancies. (vcrmed.com)
  • A meta-analysis of non-randomised studies suggested that foetal reduction to twins against expectant management of a triplet pregnancy is linked to lower rates of pregnancy complications and loss, preterm birth, caesarean section, low birth weight and neonatal mortality [ 13 ]. (biomedcentral.com)
  • From about 1940 to 1971, DES was given to pregnant women in the mistaken belief it would reduce the risk of pregnancy complications and losses. (allaboutheaven.org)
  • Eclampsia, which is considered a complication of severe preeclampsia, is commonly defined as new onset of grand mal seizure activity and/or unexplained coma during pregnancy or postpartum in a woman with signs or symptoms of preeclampsia. (medscape.com)
  • 7 Symptoms of Preeclampsia During Pregnancy. (avpt.it)
  • Although the absolute risk of ESRD after preeclampsia is low, preeclampsia in one or more pregnancies is a risk factor for development of Li Y, Li M, Xuan R. An electrolyte panel may be part of a regular check-up. (avpt.it)
  • Fortunately low-dose aspirin taken during pregnancy has been shown to decrease the risk of preeclampsia by about 24% in women who are at high risk (2). (avpt.it)
  • If severe preeclampsia develops at 28 to 36 weeks of pregnancy, the risks are similar to those that can occur prior to 28 weeks, but the rates are lower. (avpt.it)
  • Results: We identified 332 pregnancies complicated by preeclampsia, including 277 singletons and 55 twins. (avpt.it)
  • The long-term effect of aspirin usage during preeclamptic pregnancies is actually one of the things we're collecting in The Preeclampsia Registry (www.preeclampsiaregistry.org)," said CEO Eleni Tsigas about the Preeclampsia Foundation's patient registry. (preeclampsia.org)
  • Generally selective reduction reduces the risk of preterm birth, leading to better outcomes for both mothers and the newborns. (wikipedia.org)
  • It appears that reduction of triplets, where each triplet is in its own placenta, to twins results in a lower risk of preterm birth and does not increase the risk of miscarriage. (wikipedia.org)
  • If symptoms are severe or if painful preterm contractions occur, treatment may also include manual reduction of amniotic fluid volume. (msdmanuals.com)
  • With advances in perinatal care, few absolute medical contraindications exist for pregnancy. (medscape.com)
  • INTRODUCTION: Pre-eclampsia affects 2%-8% of pregnancies and is one of the leading causes of maternal and perinatal morbidity and mortality. (bvsalud.org)
  • Perinatal outcome of multiple pregnancies: are multifetal reductions still justifiable in Switzerland? (unibe.ch)
  • The reduction procedure is generally carried out during the first trimester of pregnancy. (wikipedia.org)
  • COMPLETE FETAL A - V BLOCK AA A A A At the time of diagnosis of heart block in FETUS maternal dexamethasone (4 or 8 mg/d for 2 weeks, Then 4 mg/day should be initiated maintained for the duration of the pregnancy, tapering at times (2 mg/d) in the third trimester. (slideshare.net)
  • Amniocentesis - A procedure done in the second trimester of pregnancy to check for abnormalities of the foetus by removing some amniotic fluid from the uterus and testing it. (nordicalagos.org)
  • First-trimester screening using an algorithm that combines maternal characteristics, mean arterial blood pressure, uterine artery pulsatility index and biomarkers (pregnancy-associated plasma protein-A and placental growth factor) is the method that achieves a greater diagnostic accuracy. (bvsalud.org)
  • Most cases of eclampsia present in the third trimester of pregnancy, with about 80% of eclamptic seizures occurring intrapartum or within the first 48 hours following delivery. (medscape.com)
  • CVS is a diagnostic test that is performed during the first trimester, usually between 10 and 14 weeks of pregnancy. (nm.org)
  • Twin pregnancy weeks The second or middle trimester lasts from week 14 to week This is often the most enjoyable of the three trimesters - when. (jaaski.ru)
  • WebIt is common for a twin pregnancy to undergo spontaneous reduction in the first trimester. (jaaski.ru)
  • Although ACOG and USPSTF guidelines recommend starting between weeks 12 and 28 of your pregnancy, recent evidence shows that starting closer to the beginning of your second trimester may be more beneficial. (preeclampsia.org)
  • [ 4 ] The incidence of spontaneous twins is thought to be approximately 1 in 80 pregnancies. (medscape.com)
  • The vast majority of these pregnancies are twins, but triplets, quadruplets, and higher numbers can occur. (sdfertility.com)
  • Because triplets and twins generally do better than higher-order multiples, reduction in these cases is rarely recommended, although it may be considered under special circumstances. (sdfertility.com)
  • Transferring more than one embryo increases the likelihood of a multiple pregnancy (twins, triplets, etc. (vcrmed.com)
  • This case represents to our knowledge the only MRI images of conjoined twins in a triplet pregnancy and demonstrates how 3D imaging can be used to better counsel patients about management options. (hindawi.com)
  • Conjoined twins within a triplet pregnancy are very rare and a recent review suggested the incidence is less than one in a million deliveries [ 3 ]. (hindawi.com)
  • The purpose of this report is to describe the presentation and management of a dichorionic triplet pregnancy complicated by conjoined twins. (hindawi.com)
  • MRI images of conjoined twins in a triplet pregnancy. (hindawi.com)
  • The parents were counseled and options discussed included (1) continue the pregnancy understanding that the shared heart meant the conjoined twins could not be separated should they survive to delivery, (2) terminate the entire pregnancy or, (3) selective feticide of the conjoined twins. (hindawi.com)
  • A review published in 2003 reported thirteen cases of conjoined twins within a triplet pregnancy [ 2 ]. (hindawi.com)
  • The amount of pregnancy weight you're recommended to gain depends on where you started out: underweight, at a healthy weight, overweight, or obese (and whether you're carrying twins or multiples). (jaaski.ru)
  • Mothers often tried to persuade themselves to look at foetal reduction within the 'big picture' of the overall pregnancy outcome. (biomedcentral.com)
  • Dealing with the decision of whether or not to undergo multi-fetal pregnancy reduction can be a traumatic experience. (sdfertility.com)
  • It is usually helpful for couples considering multi-fetal reduction to undergo professional counseling prior to undergoing the procedure with a highly skilled perinatalogist. (sdfertility.com)
  • Women seeking terminations of pregnancy undergo a brief and targeted gynecologic and obstetric history. (medscape.com)
  • Even if a couple decides to undergo MPR, there are still some risks, including the possibility of losing the entire pregnancy. (vcrmed.com)
  • While there is a recognition of the importance of understanding the experiences of women who undergo foetal reduction to offer appropriate help and support, studies that provide relevant insights are sparse. (biomedcentral.com)
  • Women who undergo foetal reduction should be provided with tailored interventions towards enhancing their coping strategies before and after foetal reduction taking into account the cultural and religious context. (biomedcentral.com)
  • Pre-eclampsia risk was calculated between 11+0 and 13+6 weeks using the Gaussian algorithm combining maternal characteristics, mean arterial pressure, uterine arteries pulsatility index, pregnancy-associated plasma protein-A and placental growth factor. (bvsalud.org)
  • OBJECTIVE: To assess whether aspirin treatment can be discontinued in pregnancies with normal uterine artery pulsatility index (≤90th percentile) at 24-28 weeks. (bvsalud.org)
  • Multi-fetal pregnancy reduction is a technique performed in less than 1 % of infertility patients. (sdfertility.com)
  • Genetic counseling is also available for infertility and other problems with conception and pregnancy. (nm.org)
  • Given the risks that multiple gestations confer, some women elect for fetal reduction, especially in the setting of higher order multiples. (medscape.com)
  • Ultrasound triggered mental representations of the infant at 20 weeks of pregnancy: Presentation of the assessment tool TC_sono20. (unibe.ch)
  • Information is shown for the items: Risk factors in this pregnancy, Obstetric procedures, Characteristics of Objectives --This is the first report to present maternal and infant labor and delivery, Method of delivery, Abnormal conditions of the health information exclusive to the 2003 revision of the U.S. Standard newborn, and Congenital anomalies of the newborn. (cdc.gov)
  • Screening and diagnostic tests are two different options for getting more information about the chance that your pregnancy has certain birth defects or genetic disorders. (nm.org)
  • Amniocentesis is a diagnostic test that is performed during the second or third trimesters, usually between 15 and 21 weeks of pregnancy. (nm.org)
  • Selective reduction is the practice of reducing the number of fetuses in a multiple pregnancy, such as quadruplets, to a twin or singleton pregnancy. (wikipedia.org)
  • Selective reduction is used when a mother is carrying an unsafe or undesirable number of fetuses in a multiple pregnancy, which are common in medically assisted pregnancies. (wikipedia.org)
  • A study published in the Journal of Maternal, Fetal and Neonatal Medicine, claims 50 gram glucose challenge testing results in an increased number of false-positive tests in twin pregnancies. (babymed.com)
  • Mount Sinai's Maternal Fetal Medicine team includes specialists who are experts in caring for women with high-risk pregnancies. (mountsinai.org)
  • In addition, these pregnancies often present a challenge in management for the obstetrician. (medscape.com)
  • A pregnancy test is run by the obstetrician during the first office visit to confirm the presence of the hCG hormone and confirm the pregnancy. (babymed.com)
  • Find an obstetrician to care for you through your pregnancy and delivery. (healthlinkbc.ca)
  • Multiple Pregnancy: Should I Consider a Multifetal Pregnancy Reduction? (synapseconnect.org)
  • The procedure is also used in multiple pregnancies when one of the fetuses has a serious and incurable disease, or in the case where one of the fetuses is outside the uterus, in which case it is called selective termination. (wikipedia.org)
  • Selective reduction was developed in the mid-1980s, as people in the field of assisted reproductive technology became aware of the risks that multiple pregnancies carried for the mother and for the fetuses. (wikipedia.org)
  • It is also used in cases of multiple pregnancy where at least one of the fetuses is implanted outside the uterus to preserve the life of the mother and the fetus in the uterus, and when one or more of the fetuses has a serious and incurable disease. (wikipedia.org)
  • Women who carry multiple gestations may be initially asymptomatic or may have normal signs and symptoms of pregnancy (eg, breast tenderness, fatigue, nausea, vomiting). (medscape.com)
  • Routine prenatal care should be performed in pregnancies with multiple gestations. (medscape.com)
  • Multiple pregnancy and birth carry significant risks to the children and they also carry considerable risks for mothers. (babymed.com)
  • We also have special expertise in caring for multiple gestations, including performing multifetal pregnancy reduction, selective termination, and radiofrequency ablation for complicated multiple gestations. (mountsinai.org)
  • The primary goal of eSET is to reduce the multiple pregnancy rate associated with IVF. (vcrmed.com)
  • Foetal reduction-removal of one or more foetuses to reduce the number of foetuses in multiple conceptions-is a procedure used for improving pregnancy outcomes following assisted reproductive technology (ART) treatment. (biomedcentral.com)
  • Mothers often regretted that they took clinical advice to implant multiple embryos and then having had to resort to foetal reduction. (biomedcentral.com)
  • What are the symptoms of multiple pregnancy? (chop.edu)
  • The following are the most common symptoms of multiple pregnancy. (chop.edu)
  • How is multiple pregnancy diagnosed? (chop.edu)
  • Diagnosis of multiple fetuses may be made early in pregnancy, especially if fertility treatments were used. (chop.edu)
  • Levels of human chorionic gonadotrophin (hCG) may be quite high with multiple pregnancy. (chop.edu)
  • Foetal reduction, defined as the removal of one or more foetuses to reduce their number to one or two, is a method used for improving pregnancy outcomes following ART treatment [ 8 ]. (biomedcentral.com)
  • Women at high risk for those outcomes should be identified in early pregnancy. (preeclampsia.org)
  • Are Maternity Clothes Needed for a Twin Pregnancy? (babymed.com)
  • Approximately 30% of IVF pregnancies result in a twin pregnancy, and another 3% to 4% result in a triplet or a higher order (four or more implanted embryos) pregnancy in the United States. (vcrmed.com)
  • What precautions should one take during Twin Pregnancy? (jaaski.ru)
  • Following the demise of one twin after 14 weeks, the risk of demise of the co-twin is % in a monochorionic pregnancy and % in a dichorionic pregnancy. (jaaski.ru)
  • Get Weekly Twin Pregnancy Updates. (jaaski.ru)
  • Vinekar K, Jarlenski M, Meyn L, Chen BA, Achilles SL, Tyberg S, Borrero S. Early pregnancy confirmation availability at crisis pregnancy centers and abortion facilities in the United States. (jefferson.edu)
  • They believe that information empowers pregnant women to handle their pregnancies without fear and anxiety. (ikreatepassions.com)
  • Whether you are thinking about getting pregnant or already are expecting, our topics on pregnancy, childbirth, and breastfeeding can answer your questions. (healthwise.net)
  • A pregnancy diagnosed by the presence of the pregnancy hormone HCG, in the blood, but no fetus develops by ultrasound, and the pregnancy stops developing very early. (center4fertility.com)
  • A pregnancy confirmed by an increasing level of the pregnancy hormone hCG and the presence of a gestational sac detected by ultrasound. (center4fertility.com)
  • Early in pregnancy, the number of fetuses noted on ultrasound can be decreased in order to increase the chances of having a baby or babies delivered as close to full term as possible. (vcrmed.com)
  • With the aid of 3D ultrasound and MRI images, the parents were counseled regarding the management options, including continuation of pregnancy, termination of pregnancy, or selective fetocide. (hindawi.com)
  • During your pregnancy, they offer antenatal classes which are conducted by an expert childbirth educator. (ikreatepassions.com)
  • Learning as much as you can about the developing pregnancy and various childbirth practices will help as you consider such questions as: What kind of care do you want to receive during pregnancy? (darshanhospital.com)
  • Higher mortality rates have been reported in women with coarctation of the aorta with vascular involvement, pulmonary hypertension, Marfan syndrome with aortic involvement, and myocardial infarction in pregnancy. (medscape.com)
  • Ten percent of all pregnancies are complicated by hypertension . (medscape.com)
  • VEGF as an angiogenic growth factor and 20 weeks of pregnancy. (who.int)
  • Despite this, many believe the long-term benefits of the use of eSET to achieve a singleton pregnancy are much better for the health of both the mother and baby. (vcrmed.com)
  • This study aimed to apply the modified Poisson model in identifying factors associated with the prevalence of pregnancy termination among women of reproductive age in Uganda. (bvsalud.org)
  • A modified Poisson model that incorporated sampling weights was used to establish the factors associated with pregnancy termination. (bvsalud.org)
  • The procedure is also called multifetal pregnancy reduction. (wikipedia.org)
  • The focus is on dating the pregnancy, ensuring the absence of other gynecologic pathology (particularly STIs), and assessing the patient's suitability for an operative procedure under local sedation. (medscape.com)
  • The procedure is called multi-fetal pregnancy reduction (MPR). (vcrmed.com)
  • However, there is a small decrease in overall pregnancy rates after eSET because women who do not meet the more appropriate criteria are being offered this procedure. (vcrmed.com)
  • Badell said she has stopped offering what is called a multifetal pregnancy reduction, which is a procedure that reduces the number of fetuses if, for example, a woman is expecting triplets. (thecurrentga.org)
  • The signs and symptoms of premature labor are varied and may include spotting and early contractions, and pregnancy with multiples. (babymed.com)
  • In-depth semi-structured interviews were conducted with seven first-time mothers who underwent foetal reduction following ART treatment at a fertility centre in Taipei, Taiwan. (biomedcentral.com)
  • When there is more than one baby is present in your uterus, this is called multifetal pregnancy. (noblehearthospital.com)
  • A pregnancy in the fallopian tube, or elsewhere outside the lining of the uterus. (center4fertility.com)
  • Women take on less risk, regardless of health or gestational age, to terminate a pregnancy than to continue to term. (medscape.com)
  • Regular strength aspirin is NOT a preferred pain reliever during pregnancy. (preeclampsia.org)
  • You should start taking low-dose aspirin (generally available as 81mg) between weeks 12 and 16 of your pregnancy. (preeclampsia.org)
  • We'd like to see how offspring of women who took aspirin during their pregnancies fare many years down the road. (preeclampsia.org)
  • These trends led to more women asking for reduction to one fetus. (wikipedia.org)
  • Researchers find two embryos are more viable for women who are attempting pregnancy with their first child. (babymed.com)
  • Couples who have invested a great deal of time, money, and energy in pursuing pregnancy are often unprepared to make this decision. (sdfertility.com)
  • Couples with high-risk pregnancies face the 'selective reduction' dilemma. (christianitytoday.com)
  • Christian couples with high-risk pregnancies, often due to biotech fertility treatments or a fetal illness, may find themselves facing an agonizing decision, not just an eagerly awaited birth. (christianitytoday.com)
  • Most couples in which one partner has MS are able to have children without MS affecting the pregnancy, labour, or delivery. (healthlinkbc.ca)
  • Pre-eclampsia is one of several hypertensive disorders that can occur during pregnancy. (avpt.it)
  • The team specializes in tertiary level of care extended to both, the women who have high-risk pregnancy as well the ones with normal pregnancy. (ikreatepassions.com)
  • Preventive pharmacotherapy  All the women planning a pregnancy should be given folic acid in dose 0.4mg/day for at least one month. (slideshare.net)
  • Women with a prior child with NTD , should receive folic acid 4 mg/day for at least one month preconceptually and three months after the pregnancy. (slideshare.net)
  • In women who are considered good candidates, eSET has demonstrated excellent pregnancy rates. (vcrmed.com)
  • Some women have fewer MS symptoms during pregnancy, then a temporary relapse after delivery. (healthlinkbc.ca)
  • A study of accidental pregnancies among poor women in Thailand found that infants who had been exposed to Depo-Provera during pregnancy had a higher risk of low birth weight and an 80% greater-than-usual chance of dying in the first year of life. (allaboutheaven.org)
  • The natural rise in von Willebrand factor (VWF) during pregnancy is discussed, but the fact that women with VWD do not achieve the same VWF levels as women without VWD is emphasized and the implications are presented. (ashpublications.org)
  • Genetic consultation is available before pregnancy, during pregnancy, or after pregnancy for women and men. (nm.org)
  • Carrier screening is a blood test routinely offered to all women and their partners either before pregnancy or early in pregnancy. (nm.org)
  • Conclusion: There exists a significant proportion of women who have had their pregnancies terminated in Uganda. (bvsalud.org)
  • Some symptoms common in pregnancy and after the baby's birth can be made worse by MS. These include depression and fatigue. (healthlinkbc.ca)
  • Abortion - The medical process by which a pregnancy is brought to an end before the foetus can survive outside the womb. (nordicalagos.org)
  • If abortion presents a medical risk to the patient, then continuation of the pregnancy presents an even greater risk. (medscape.com)
  • Sonalkar S, McAllister A, Kete C, Fishman J, Frarey A, Short WR, Schreiber CA, Teitelman A. Implementation of an HIV Pre-exposure Prophylaxis Strategy Into Abortion and Early Pregnancy Loss Care. (jefferson.edu)
  • Ultrasounds can be done with a vaginal transducer, especially in early pregnancy, or with an abdominal transducer in later pregnancy. (chop.edu)
  • For Scot and Patty Shier of Los Angeles, who faced the question of selective reduction, the promise of having their own baby became a perilous journey through high-tech bioethics. (christianitytoday.com)
  • At the five count, the doctor blurted, "We have to talk about selective reduction. (christianitytoday.com)
  • The doctor rejected the Shiers' request for a referral to a physician who would try to deliver all the babies-unless they also agreed to see two doctors who practiced selective reduction. (christianitytoday.com)
  • Such pregnancies are linked with a higher risk for both mother and child, and this risk increases with the number of children. (noblehearthospital.com)
  • However, serum levels were significantly higher with mild or severe pre-eclampsia compared with normal pregnancies and significantly higher with severe rather than with mild pre-eclampsia. (who.int)
  • This technique that reduces the number of fetuses in an effort to increase the likelihood that the pregnancy will continue. (sdfertility.com)
  • Our team takes care of high-risk pregnancies before pregnancy begins through the early days following birth. (mountsinai.org)
  • Beta hCG Test - This is a blood test undertaken to test for pregnancy or measure levels of hCG in early pregnancy. (nordicalagos.org)
  • It produces progesterone during the second half of the menstrual cycle and in early pregnancy. (center4fertility.com)
  • But pregnancy, delivering a baby, and early motherhood do not increase the risk of being disabled by MS over time. (healthlinkbc.ca)
  • WebJun 3, · Twenty-nine weeks into your pregnancy, or 27 weeks after conception, your baby can kick, stretch and make grasping movements. (jaaski.ru)
  • Week Baby's hair grows Thirty weeks into your pregnancy, or 28 weeks after conception, your baby's eyes can open wide. (jaaski.ru)
  • The couple never went to either reduction specialist, but made an appointment instead with a Christian perinatologist who specialized in high-risk pregnancies. (christianitytoday.com)