实用医学杂志Issue(24)：3979-3982,4.DOI:10.3969/j.issn.1006-5725.2014.24.036
辅助生殖受孕的三胎妊娠减胎术后妊娠结局分析
The pregnancy outcomes of selective reduction of triplet pregnancy by assisted reproductive technology
摘要
Abstract
Objective To study the outcomes of selective reduction of triplet pregnancy by assisted reproductive technology. Methods The clinical data of 31 women who succeeded in conception by vitro fertilization-embryo transfer in the third affiliated hospital of Guangzhou Medical University were retrospectively investigated to analyze and compare the rates of abortion from triplet pregnancy, twin pregnancy and single pregnancy after selective reduction of triplet pregnancy, the incidence of pregnant complications, outcomes of perinatal period. Results There were no significant differences between triplet pregnancy and the twin and single pregnancy after selective reduction of triplet pregnancy in terms of pregnancy and parity time, fetal disease, premature rupture of membrane, severe eclampsism, gestational diabetes and postpartum hemorrhage (P>0.05). There were significant differences in gestational weeks, birth weight, rate of premature birth, rate of neonatal transfer to NICU and neonatal RDS: The gestational time in the triplet group longer than the groups of twin pregnancy and single pregnancy after selective reduction of triplet pregnancy (P<0.05). (37.3 ± 1.9) vs. (35.2 ± 0.9), (32.6 ± 2.3), respectively), the rate of premature birth dropped (100%vs. 100%, 33.3%, respectively), the body weight was increased (1 707 ± 360.4)g vs. (2 066.1 ± 307.5)g, (2 712.5 ± 514.1)g, respectively and the neonatal complication rate was reduced (P<0.05). Conclusion The selective reduction of multiple pregnancy may decrease the risk of premature birth and reduce the rate of lower body weight of neonates, improving the pregnancy outcomes, but the higher rate of abortion at the early or middle course of pregnancy after selective reduction is worth our attention.关键词
三胎妊娠/辅助生殖/减胎/妊娠结局Key words
Triplet pregnancy/Assisted reproduction/Selective reduction of triplet pregnancy/Pregnancy outcome引用本文复制引用
周燕媚,孙雯,肖雪,杜培丽,张慧丽,孙斌,汤雯婷,匡丽云,陈敦金..辅助生殖受孕的三胎妊娠减胎术后妊娠结局分析[J].实用医学杂志,2014,(24):3979-3982,4.基金项目
广州市“2011”产科重点疾病协同创新中心（编号13xt04）；妊娠合并急危重症早期干预和规范化治疗研究及示范 （）
