Journal of International Reproductive Health/Family Planning ›› 2012, Vol. 31 ›› Issue (6): 462-466.
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TAN Wen-ya,CHEN Lei-ning,QUAN Song
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Abstract: Ｔｈｅ ｉｎｃｉｄｅｎｃｅ ｏｆ ｉａｔｒｏｇｅｎｉｃ ｍｕｌｔｉｆｅｔａｌ ｐｒｅｇｎａｎｃｙ ｗａｓ ｓｉｇｎｉｆｉｃａｎｔｌｙ ｉｎｃｒｅａｓｅｄ ａｓ ｔｈｅ ｄｅｖｅｌｏｐｍｅｎｔ ｏｆ ａｓｓｉｓｔｅｄ ｒｅｐｒｏｄｕｃｔｉｖｅ ｔｅｃｈｎｏｌｏｇｙ． Ｍｕｌｔｉｆｅｔａｌ ｐｒｅｇｎａｎｃｙ ｉｎｃｒｅａｓｅｄ ｔｈｅ ｒｉｓｋ ｏｆ ｐｒｅｍａｔｕｒｅ ｄｅｌｉｖｅｒｙ，ｍｉｓｃａｒｒｉａｇｅ，ｌｏｗ ｂｉｒｔｈ ｗｅｉｇｈｔ，ｔｗｉｎ ｔｒａｎｓｆｕｓｉｏｎ ｓｙｎｄｒｏｍｅ ａｎｄ ｐｒｅｍａｔｕｒｅ ｒｕｐｔｕｒｅ ｏｆ ｍｅｍｂｒａｎｅｓ． Ｔｈｏｓｅ ａｄｖｅｒｓｅ ｅｖｅｎｔｓ ｓｅｒｉｏｕｓｌｙ ａｆｆｅｃｔｅｄ ｔｈｅ ｍａｔｅｒｎａｌ－ｆｅｔａｌ ｏｕｔｃｏｍｅ． Ｆｅｔａｌ ｒｅｄｕｃｔｉｏｎ ａｓ ａｎ ｉｍｐｏｒｔａｎｔ ｒｅｍｅｄｉａｌ ｍｅａｓｕｒｅｓ ｔｏ ｃｏｎｔｒｏｌ ｍｕｌｔｉｐｌｅ ｐｒｅｇｎａｎｃｙ ｈａｓ ｂｅｅｎ ｗｉｄｅｌｙ ｕｓｅｄ ｔｏ ｒｅｄｕｃｅ ｃｏｍｐｌｉｃａｔｉｏｎｓ ａｎｄ ｒｉｓｋｓ ｏｆ ｍａｔｅｒｎａｌ ａｎｄ ｃｈｉｌｄ． Ｔｈｉｓ ａｒｔｉｃｌｅ ｒｅｖｉｅｗｅｄ ｔｈｅ ｔｉｍｉｎｇ，ｍｅａｎｓ，ｍｅｔｈｏｄｓ，ａｎｄ ｉｍｐａｃｔ ｏｎ ｍａｔｅｒｎａｌ ａｎｄ ｃｈｉｌｄ ｏｆ ｔｈｅ ｍｕｌｔｉｆｅｔａｌ ｒｅｄｕｃｔｉｏｎ ｉｎ ｒｅｃｅｎｔ ｙｅａｒｓ． Ｇｅｎｅｒａｌｌｙ，ｔｈｅ ｍｕｌｔｉｆｅｔａｌ ｒｅｄｕｃｔｉｏｎ ｏｐｅｒａｔｉｏｎ ｗａｓ ｄｏｎｅ ｖｉａ ｖａｇｉｎ ｉｎ ｅａｒｌｙ ｇｅｓｔａｔｉｏｎ （７～８ ｗｅｅｋｓ），ｗｈｉｌｅ ｔｈｅ ｓｅｌｅｃｔｉｖｅ ｍｕｌｔｉｆｅｔａｌ ｒｅｄｕｃｔｉｏｎ ｏｐｅｒａｔｉｏｎ ｉｎ １２～１４ ｗｅｅｋｓ． Ｔｒａｎｓｖａｇｉｎａｌ ａｓｐｉｒａｔｉｏｎ ｏｆ ｅｍｂｒｙｏ ｍａｙ ｂｅ ｔｈｅ ｍｏｓｔ ｅｆｆｅｃｔｉｖｅ ａｎｄ ｓａｆｅ． Ｈｏｗｅｖｅｒ，ｔｈｅ ｏｐｅｒａｔｉｏｎ ｉｔｓｅｌｆ ｍａｙ ｃａｕｓｅ ｕｎｃｅｒｔａｉｎ ｄａｍａｇｅ． Ｔｈｅｒｅｆｏｒｅ，ｉｔ ｉｓ ｎｅｃｅｓｓａｒｙ ｔｏ ｉｍｐｒｏｖｅ ｔｅｃｈｎｉｑｕｅｓ ｏｆ ｅｍｂｒｙｏｓ ｃｕｌｔｕｒｅ，ｃｒｙｏｐｒｅｓｅｒｖａｔｉｏｎ ａｎｄ ｔｈａｗｉｎｇ ａｓ ｗｅｌｌ ａｓ ｅｍｂｒｙｏ ｓｅｌｅｃｔｉｏｎ，ａｎｄ ｔｏ ｃｈｏｏｓｅ ｔｈｅ ｂｅｓｔ ｔｒａｎｓｐｌａｎｔａｔｉｏｎ ｔｉｍｉｎｇ，ｔｏ ｒｅｄｕｃｅ ｔｈｅ ｏｃｃｕｒｒｅｎｃｅ ｏｆ ｍｕｌｔｉｐｌｅ ｐｒｅｇｎａｎｃｙ． Ａｔ ｐｒｅｓｅｎｔ，ｔｈｅ ｓｅｌｅｃｔｉｖｅ ｓｉｎｇｌｅ ｅｍｂｒｙｏ ｔｒａｎｓｐｌａｎｔａｔｉｏｎ ｗａｓ ａｄｖｏｃａｔｅｄ．
TAN Wen-ya;CHEN Lei-ning;QUAN Song. The Multifetal Reduction Technology and Its Influence on Mother and Fetus[J]. Journal of International Reproductive Health/Family Planning, 2012, 31(6): 462-466.
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