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Pregnancy outcomes of different methods for multifetal pregnancy reduction: a comparative study

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dc.contributor.authorLee, Jung Ryeol-
dc.contributor.authorKu, Seung-Yup-
dc.contributor.authorJee, Byung Chul-
dc.contributor.authorSuh, Chang Suk-
dc.contributor.authorKim, Ki Chul-
dc.contributor.authorKim, Seok Hyun-
dc.date.accessioned2010-06-14T07:13:43Z-
dc.date.available2010-06-14T07:13:43Z-
dc.date.issued2008-02-28-
dc.identifier.citationJ Korean Med Sci. 2008; 23(1): 111-6en
dc.identifier.issn1011-8934 (Print)-
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=18303209-
dc.identifier.urihttps://hdl.handle.net/10371/67665-
dc.description.abstractThe purpose of this study was to evaluate the outcomes of various methods of multifetal pregnancy reduction (MFPR) and to determine which method produces better outcomes. One hundred and forty-eight patients with multiple pregnancies resulting from assisted reproduction programs and underwent MFPR were included. According to the use of potassium chloride (KCl), patients were divided into 'KCl', and 'non- KCl' groups, and based on gestational age at the time of procedures, patients were divided into 'Early' (before 8 weeks of gestation) and 'Late' (at 8 weeks or later) groups. Firstly, to clarify the effect of each component of MFPR procedure, data were analyzed between 'KCl' and 'non-KCl' groups, and between 'Early' and 'Late' groups with adjustments. Secondly, comparison between 'Early, non-KCl' and 'Late, KCl' groups was performed to evaluate the combinative effect of both components. Non-KCl groups showed a significantly higher take-home-baby rate, and lower risk of extreme prematurity and preterm premature rupture of membranes (PPROM) than KCl groups. Early groups showed a lower immediate loss rate than Late groups. As compared with 'Late, KCl' group, 'Early, non-KCl' group was superior in terms of immediate loss, pregnancy loss, take-home-baby, and PPROM rates. Our data suggest that the 'early, non-KCl' method may be a better option for MFPR.en
dc.language.isoenen
dc.publisherKorean Academy of Medical Sciencesen
dc.subjectAdulten
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectPotassium Chloride/therapeutic useen
dc.subjectPregnancyen
dc.subjectPregnancy Reduction, Multifetal/*methodsen
dc.subjectRetrospective Studiesen
dc.subjectPregnancy Outcome-
dc.titlePregnancy outcomes of different methods for multifetal pregnancy reduction: a comparative studyen
dc.typeArticleen
dc.contributor.AlternativeAuthor이정렬-
dc.contributor.AlternativeAuthor구승엽-
dc.contributor.AlternativeAuthor지병철-
dc.contributor.AlternativeAuthor서창석-
dc.contributor.AlternativeAuthor김기철-
dc.contributor.AlternativeAuthor김석현-
dc.identifier.doi10.3346/jkms.2008.23.1.111-
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