title: [Selective pregnancy termination by minor section in the 24th week in a discordant twin pregnancy and the spontaneous birth of a healthy child at term].
abstract: In a twin pregnancy of a 25-year-old woman one fetus was a normal male, while the other had hydrocephalus (6 mm thick pallium in the 23rd week) and a neural-tube defect in the thoracic-lumbar region. The abnormal fetus was removed by minor section in the 24th week, after which the normal one developed without complication. A healthy boy, weighing 3050 g and 52 cm long, was delivered spontaneously in the 39th week. Palpation of the uterus revealed a dehiscence, covered by muscle, in the region of the uterotomy scar, but it required no revision.
authors.affiliation: Bereich Medizin (Charité) der Humboldt-Universität zu Berlin.
authors.forename: R
authors.initials: R
authors.lastname: Bollmann
authors.forename: H
authors.initials: H
authors.lastname: Schilling
authors.forename: P
authors.initials: P
authors.lastname: Prenzlau
authors.forename: A
authors.initials: A
authors.lastname: Zienert
authors.forename: G
authors.initials: G
authors.lastname: Gust
authors.forename: A
authors.initials: A
authors.lastname: Leujak
authors.forename: R
authors.initials: R
authors.lastname: Warbanow
authors.forename: P
authors.initials: P
authors.lastname: Weihrauch
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000379:methods*; D004200:Diseases in Twins / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis / Q000473:pathology; D007231:Infant, Newborn; D008297:Male; D009436:Neural Tube Defects / Q000175:diagnosis / Q000473:pathology; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011272:Pregnancy, Multiple; D011296:Prenatal Diagnosis; D014463:Ultrasonography
vernacular_title: Selektive Schwangerschaftsbeendigung durch Sectio parva in der 24. Schwangerschaftswoche bei diskordanter Zwillingsgravidität und Spontangeburt eines gesunden Kindes am Termin.