Contemporary view of m ultifetal pregnancy management at early stages

Abstract

The present review gives a wide coverage on the problems of etiology and management of multifetal pregnancy during first trimester. Particular attention is paid to multifetal pregnancy reduction, which aims at improving prenatal outcomes in case of multiple gestation. On the basis of literary data the issues of the operation are generalized and analyzed, clinical aspects are considered and potential directions of future investigations are determined.

Keywords

in vitro fertilization (IVF) / cryopreservation / system mother - placenta - fetus

References

[1] Корсак В. С. Экстракорпоральное оплодотворение в терапии бесплодия: Автореф. дисс. ... д-ра мед. наук. СПб., 1999. 31 с.

[2] Пайкачева Ю.М. Профилактика и лечение невынашивания беременности у женщин после экстракорпорального оплодотворения: Автореф. дисс. ... канд. мед. наук. СПб., 2000. 23 с.

[3] Тачмэнн-Дюплесси X. Основы эмбриогенеза //Клиническая фармакология при беременности: Пер. с англ. Т. 1 / Под ред. Х.П.

[4] Кьюмерле и К. Брендела. М.: Медицина, 1987. С. 17-38.

[5] Федорова М.В., Смирнова В. С. Современные представления о многоплодной беременности // Вест. Росс. Асе. акуш.-гинек. 1998. -№1.-С. 38-45.

[6] Фукс М.А., Маркин Л. Б. Многоплодная беременность. Киев, 1990. С. 14-23.

[7] Чернуха Е.А., Кочиева С.К., Короткова Н.А. Родоразрешение при многоплодной беременности // Акуш. и гинек. 1997. №6. С. 25-28.

[8] Aberg A., Miterian F, Knight L. et al. Cardiac puncture of fetus with Hurler’s disease avoiding abortion of unaffected co-twin // Lancet. 1978. Vol. 2. P. 990.

[9] Antsaklis A. J., Drakakis P, Vlazakis G.P., Michalas S. Reduction of multifetal pregnancies to twins does not increase obstetric or perinatal risks // Hum. Reprod. 1999. Vol. 14, № 5. P. 1338-1340.

[10] Angel J. L., Kalter C.S., Morales W.J. at al. Aggressive perinatal care for high-order multiple gestations: Does good perinatal outcome justify aggressive assisted reproductive techniques? //Am. J. Obstet.

[11] Gynecol. 1999. Vol. 181, №2. P. 253-259.

[12] Bercowitz R.L., Lynch L., Chitkara U. et al. Selective reduction of multifetal pregnancies in the first trimester//N. Engl. J. Med. 1988. Vol. 318. -P. 1043-1047.

[13] Brinsden P. R. A textbook of in vitro fertilization and assisted reproduction. N.Y.: Parthenon Publ. Gr., 1999. 564 p.

[14] Bronsteen R.A., Evans M.L Multiple gestation //Fetal diagnosis and therapy: science, ethics, and the law/Eds. Evans M.L, Fletcher J. C., DixlerA.O., Schulman J.D. Philadelphia, 1989. P. 242-246.

[15] Cohen J., DeVane G.W., Elsner С. И/. et al. Cryopreservation of zygotes and early cleaved human embryos // FertiL Steryl. 1988. Vol. 49. P. 283-289.

[16] Collins M.C., Bleyl J.A. Seventy one quadruplets pregnancies: management and outcome //Am. J. Obstet. Gynecol. 1990. Vol. 162. P. 1384-1392.

[17] DawE. Triplet pregnancy // Br. J. Obstet. Gynaecol. 1978. Vol. 85. -

[18] P. 505-511.

[19] Dechaud H., Picot M.C., Hedon B. et al. First-trimester multifetal pregnancy reduction: evaluation of technical aspects and risks from 2756 cases in the literature //Fetal Diagn. Ther. 1998. Vol. 13. P. 261-265.

[20] DhontM., De Neubourg E, Van derElstJ. etal. Perinatal outcome of pregnancies after assisted reproduction: a case-control study // J. Assist. Reprod. Genet. 1997. Vol. 14, №10. -P. 575-580.

[21] Dietterich C., Check J. H., Lurie D. Comparison of pregnancy outcome of natural twin pregnancies versus multifetal pregnancies selectively reduced to twins // Clin. Exp. Obstet. Gynecol. 1997. ol. 24, № 1. -P. 17-18.

[22] DolkH., Bernard F, LeshatM.F. Chorionic villus sampling and limb abnormalities // Lancet. 1992. Vol. 339. P. 876-877.

[23] Doyle P. The outcome of multiple pregnancy// Hum. Reprod. 1996. Vol.11, Suppl.4. P. 110-117.

[24] Evans M.L, Fletcher J.C., Zador LE. etal. Selective first-trimester termination in octuplet and quadruplet pregnancies: clinical and ethical issues // Obstet. Gynecol. 1988. Vol.71. P. 289-296.

[25] Evans M.L, Dommergues M., Wapner R.J. et al. Efficacy of transabdominal multifetal pregnancy reduction: collaborative experience among the world largest centers // Obstet. Gynecol. 1993. Vol. 82. P. 61-66.

[26] Firth H.V., Boyd P.A., Chamberline P. et al. Severe limb abnormalities after chorion villus sampling at 56-66 days gestation // Lancet. 1991. Vol.337. P. 762 -763.

[27] Firth H.V., Boyd P.A., Chamberline P. et al. Limb abnormalities and chorion villus sampling [Letter] // Lancet. 1991. Vol.338. -P. 51.

[28] FriedlerS., Mordel N., LipitzS. et al. Perinatal outcome of triplet pregnancies following assisted reproduction // J. Assist. Rep rod. Genet. 1994. Vol. 11, № 9. P. 459-462.

[29] Haning R.V.J., Seif er D.B.,

[30] Wheeler C. A. Effects of fetal number and multifetal reduction on length of in vitro fertilization pregnancies // Obstet. Gynecol. 1996. Vol. 87, №6. P. 964-968.

[31] Hobbins J.C. Selective reduction a perinatal necessity? // N. EngL J. Med. 1988. Vol. 318, №16. P. 1062-1063.

[32] Hu Y., Maxson W.S., Hoffman D.l. etal. Maximizing pregnancy rates and limiting higher-order multiple conceptions by determining the optimal number of embryos to transfer based on quality// FertiL SteriL 1998. Vol. 69, № 4. P. 650-657.

[33] Huisman G.J., Fauser B.C.J.M., Eijkemans M.J.C. etal. Implantation rates after in vitro fertilization and transfer of a maximum of two embryos that undergone three to five days of culture // FertiL SteriL 2000. Vol. 73, №1.-P. 117-123.

[34] Kanhai H.H., van Rijssel E.J., Meerman R.J., Bennebrock Graven horst J. Selective termination in quintuplet pregnancy during first trimester//Lancet. 1986.-Vol. 21, №1. -P. 1447-1448.

[35] Kurtz G.R., Davis L.L., Loftus J. В. Factors influencing the survival of triplets // Obstet. Gynecol. 1958. Vol. 12. -P. 5-12

[36] Luke B. Reducing fetal deaths in multiple births: optimal birth weights and gestational ages for infants of twin and triplet births // Acta Genet. Med. Gemellol. 1996. Vol. 45, №3. P. 333-348.

[37] Lunch L., Berkowitz R.L. The natural history of grand multifetal pregnancies and the effect of pregnancy reduction // Multiple pregnancy/ Eds. L.G. Keith, E. Papernik, D.M. Keith, B. Luke. -N.-Y., 1995. P. 535-549.

[38] Martin P.M., Welch G. Probabilities for singleton and multiple pregnancies after in vitro fertilization // FertiL SteriL 1998. Vol. 70, № 3. P. 478-481.

[39] Mastroiacovo P., Botto L., Cavalcanti D.P. etal. Limb abnormalities following chorionic villus sampling: a registry-based case-control study//Am. J. Med. Genet. 1992. Vol. 44. P. 856-64.

[40] Medical research international

RIGHTS & PERMISSIONS

Eсо-Vector