title: Fetal reduction of triplet pregnancy: one or two?
abstract: OBJECTIVE
  To review outcomes following reductions in trichorionic triplet pregnancies at our institution.
  
  
  METHODS
  Retrospective analysis of the outcome of trichorionic triamniotic triplets reduced to singletons (group I, n = 44) or twins (group II, n = 136) at 10 and 12 weeks of gestation.
  
  
  RESULTS
  Reduction to one or two was based on parent's preference, hence unrelated to any specific obstetrical or maternal issue. Early fetal loss rate (e.g. <24 weeks) was 9.1% in group I versus 5.1% in group II (p = 0.83). In group I, the take-home baby rate was 86.4% versus 91.9% in group II (p = 0.8). In group I, 17.5% of the women gave birth between 33 and 36(+6) weeks of gestation versus 40.6% in group II (p = 0.026). Delivery beyond 37 weeks was 72.5% in group I and 46.9% in group II (p = 0.01). Intrauterine growth restriction rate was 27.0% in group I versus 45.0% in group II (p = 0.049).
  
  
  CONCLUSIONS
  Reduction to one rather than two fetuses led to significantly higher term delivery rate without significant differences in fetal loss rate or take-home baby rate.
authors.affiliation: Département d'Echographie et de Médecine Fœtale, Hôpitaux Universitaire de Strasbourg-Centre Médico-Chirurgical et Obstétrical (HUS-CMCO), Schiltigheim, France. f-kuhn@wanadoo.fr
authors.forename: F
authors.initials: F
authors.lastname: Kuhn-Beck
authors.forename: G
authors.initials: G
authors.lastname: Moutel
authors.forename: A S
authors.initials: AS
authors.lastname: Weingertner
authors.forename: M
authors.initials: M
authors.lastname: Kohler
authors.forename: F
authors.initials: F
authors.lastname: Hornecker
authors.forename: M C
authors.initials: MC
authors.lastname: Hunsinger
authors.forename: A
authors.initials: A
authors.lastname: Kohler
authors.forename: C
authors.initials: C
authors.lastname: Mager
authors.forename: M
authors.initials: M
authors.lastname: Neumann
authors.forename: I
authors.initials: I
authors.lastname: Nisand
authors.forename: R
authors.initials: R
authors.lastname: Favre
mesh_terms: D000328:Adult; D005260:Female; D005865:Gestational Age; D006801:Humans; D008297:Male; D010290:Parents; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology; D011256:Pregnancy Outcome; D018607:Pregnancy Reduction, Multifetal / Q000009:adverse effects / Q000379:methods*; D059286:Pregnancy, Triplet; D027724:Reproductive Techniques, Assisted; D012189:Retrospective Studies