A Case of Multifetal Pregnancy Complicated by Single Anomalous Fetus.

Nam, Y S; Lee, S H; Kwak, I P; Yoon, T K; Cha, K Y

Case Report

Korean Journal of Obstetrics & Gynecology 1999;42(4):891-895.
Published online January 1, 2001.

A Case of Multifetal Pregnancy Complicated by Single Anomalous Fetus.

Y S Nam, S H Lee, I P Kwak, T K Yoon, K Y Cha

Abstract

When complications arise in a multifetal gestation, management decisions can be very difficult for both parents and physicians because the fates of sibling fetuses are linked. The overall pregnancy outcome for a multifetal gestation appears to be worse when one of the fetuses has a congenital abnormality. The normal co-twin appears to have a higher risk of complications of prematurity because of the presence of an anomalous fetus. This information may affect parents` decisions about management options for the pregnancy. These options include expectant management, selective termination of the anomalous fetus, and termination of the entire pregnancy. We have experienced a case of multifetal pregnancy complicated by single anomalous fetus which was found after selective reduction. So we report this case with a brief review of literatures.

Key Words: Multifetal pregnancy, Congenital anomaly