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The effectiveness of multifetal pregnancy reduction in trichorionic triplet gestation

Journal article published in 2014 by L. van de Mheen, Lidewij van de Mheen, Sheila M. P. Everwijn, Maarten F. C. M. Knapen, Dick Oepkes, Melanie Engels, Gwendolyn T. R. Manten, Hans Zondervan ORCID, Soetinah A. M. Wirjosoekarto, J. M. G. van Vugt, John M. G. van Vugt ORCID, Jan Jaap H. M. Erwich, Sebastiaan W. A. Nij Bijvank ORCID, Sebastiaan W. A. Nij Bijvank, S. W. Nij Bijvank and other authors.
This paper is available in a repository.
This paper is available in a repository.

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Abstract

OBJECTIVE: The objective of the study was to assess in trichorionic triplet pregnancies the effectiveness of elective reduction to twins. STUDY DESIGN: This was a nationwide retrospective cohort study. We compared the time to delivery and perinatal mortality in trichorionic triplet pregnancies electively reduced to twins with ongoing trichorionic triplets and primary dichorionic twins. RESULTS: We identified 86 women with reduced trichorionic triplet pregnancies, 44 with ongoing trichorionic triplets, and 824 with primary twins. Reduced triplets had a median gestational age at delivery of 36.1 weeks (interquartile range [IQR], 33.3-37.5 weeks) vs 33.3 (IQR, 28.1-35.2) weeks for ongoing triplets and 37.1 (IQR, 35.3-38.1) weeks for primary twins (P