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  • Title: [Embryo reduction in multiple pregnancies. A French multicenter study].
    Author: Dommergues M, Aknin J, Boulot P, Nisand I, Lewin F, Oury JF, Herlicoviez M, Dumez Y, Evans MI.
    Journal: J Gynecol Obstet Biol Reprod (Paris); 1994; 23(4):415-8. PubMed ID: 8051370.
    Abstract:
    OBJECTIVE: To study the outcome of multifetal pregnancy embryo reductions (MFPR) in France. STUDY DESIGN: A retrospective questionnaire multicenter survey was conducted in 11 French centers. 262 consecutive MFPR were collected. Miscarriage and prematurity rates were analyzed as a function of the starting number of embryos, the finishing number after MFPR, and the technique of MFPR. RESULTS: There were 41 pregnancy losses before 24 weeks (16%), and 221 deliveries at 25 menstrual weeks or later (84%). Prematurity was significantly correlated to the finishing number of embryos following MFPR. However, even when a single embryo was left, there were 30% of premature deliveries. CONCLUSION: MFPR decreases the risk of prematurity in multifetal pregnancies of high order, and this is best achieved when a single embryo is left.
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