Selective feticide of the affected twin by fetoscopic air embolism.
Three twin pregnancies, each with one affected fetus (by microcephaly, haemophilia A and spina bifida respectively) were encountered. Selective feticide was performed at the patient's request by injection of filtered air into an umbilical vessel by fetoscopy. The method was successful in all three pregnancies two of which resulted in a live, healthy baby.
D000028:Abortion, Induced; D000328:Adult; D000649:Amniocentesis; D004200:Diseases in Twins; D004618:Embolism, Air; D005260:Female; D005332:Fetoscopy / Q000379:methods; D006467:Hemophilia A / Q000175:diagnosis; D002836:Hemophilia B / Q000175:diagnosis; D006801:Humans; D008297:Male; D008831:Microcephaly / Q000175:diagnosis; D009436:Neural Tube Defects / Q000175:diagnosis; D011247:Pregnancy; D011296:Prenatal Diagnosis; D014427:Twins; D014463:Ultrasonography