title: [Techniques, results and indications of embryonic reductions in multiple pregnancies. Review of the literature].
abstract: The authors report, after a review of the literature, the evolution of ideas concerning first-trimester terminations in multiple pregnancies. Different techniques are performed including transabdominal approach or transvaginal approach at the mean gestational age of 9 or 11 weeks of amenorrhea. Analysis of obstetrical results obtained after these procedures (rates of early or late abortions, preterm labor or in utero growth retardation) shows a high rate of abortions and demonstrate also that reductions are unable to prevent premature births. Indications are discussed: concerning pregnancies of high order (four or more), most part of authors agree with the procedure and also when a triplet pregnancy occurs on a scarred or malformed uterus. Concerning triplet pregnancies, the procedure remains considered by some teams as an unethical approach of theses gestations, specially when considering the recent advances in perinatal medicine. In all cases, a clear and complete information about the risks of these procedures should be given to couples faced with multiple pregnancies.
authors.affiliation: Services de Gynécologie-Obstétrique de Montpellier-Nîmes, Faculté de Médecine.
authors.forename: P
authors.initials: P
authors.lastname: Boulot
authors.forename: B
authors.initials: B
authors.lastname: Hedon
authors.forename: G
authors.initials: G
authors.lastname: Pelliccia
authors.forename: F
authors.initials: F
authors.lastname: Deschamps
authors.forename: F
authors.initials: F
authors.lastname: Arnal
authors.forename: C
authors.initials: C
authors.lastname: Humeau
authors.forename: F
authors.initials: F
authors.lastname: Molenat
authors.forename: F
authors.initials: F
authors.lastname: Laffargue
authors.forename: P
authors.initials: P
authors.lastname: Mares
authors.forename: J L
authors.initials: JL
authors.lastname: Viala
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects / Q000266:history / Q000379:methods* / Q000523:psychology; D005260:Female; D005315:Fetal Diseases / Q000453:epidemiology; D049673:History, 20th Century; D006801:Humans; D011182:Postoperative Care; D011247:Pregnancy; D011272:Pregnancy, Multiple
vernacular_title: Techniques, résultats et indications des réductions embryonnaires au cours des grossesses multiples. Revue de la littérature.