Tailored selective termination in second trimester in twin pregnancy.

Lee, Soo Yoon; Park, Mi Hye; Oh, Kwan Young; Lee, Byung Kwan; Kim, Young Ju; Ahn, Jung Ja; Kim, Chong Il; Chun, Sun Hee

Obstet Gynecol Sci > Volume 50(12); 2007 > Article

Original Article

Korean Journal of Obstetrics & Gynecology 2007;50(12):1657-1664.
Published online December 1, 2007.

Tailored selective termination in second trimester in twin pregnancy.

Soo Yoon Lee, Mi Hye Park, Kwan Young Oh, Byung Kwan Lee, Young Ju Kim, Jung Ja Ahn, Chong Il Kim, Sun Hee Chun

¹Department of Obstetrics and Gynecology, University School of Medicine Ewha Woman's University, Seoul, Korea. ewhapmh@ewha.ac.kr
²Department of Obstetrics and Gynecology, College of Medicine, Eul Ji University, Seoul, Korea.

Abstract

OBJECTIVE
Recently, selective termination is employed in multifetal pregnancies, in the presence of an abnormal fetus, or in the complication of twin pregnancies. The purpose of this study is to evaluate effectiveness, safety of the tailored selective termination in multifetal pregnancies. METHODS: This study was retrospective and involved six cases. Indication of termination were 3 cases of structural anomalies (anencephaly, encephalocele, body stalk anomaly), 1 case of chromosomal anomaly (21 trisomy) and 2 cases of monochorionic twin complications (acardiac twin, twin to twin transfusion syndrome). RESULTS: We used KCL injection in 4 cases, they were all confirmed dichorionic twin, and in 2 cases of monochorionic twin, we used alcohol ablation of intra-abdominal umbilical artery in 1 case, and radiofrequency ablation of the cord in 1 case. CONCLUSION: All procedures were successful, and all normal infants were delivered in 3rd trimester. Tailored selective termination in 2nd trimester is effective and safe in abnormal multifetal pregnancies.

Key Words: Tailored selective termination, Chorionicity, Twin pregnancy