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Successful pregnancy and Delivery after Multifetal pregnancy Reduction in A Woman with monochorionic triplet pregnancy Following Intracytoplasmic Sperm Injection and the Transfer of Frozen-thawed Embryos

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Journal of Reproduction and Contraception 2014年第2期25卷 119-122页

作者： Rui YANG Rong LI Xin-na CHEN Jie QIAO Department of Obstetrics and Gynecology Reproductive Medical Center Peking University Third Hospital

This was the first report of multifetal pregnancy reduction （MFPR） with mono- chorionic triplet pregnancy following ICSI and the transfer of frozen-thawed embryos. A 30-year-old woman who had undergone ICSI and the transfer of frozen-thawed embryos subsequently developed monochorionic triplet pregnancy. She did a multifetal pregnancy reduction to remove one embryo limb from the fetal sac and remained a singleton pregnancy after pregnancy reduction. At last she delivered a healthy baby girl at 40 weeks of gestation. In conclusions, an early stage fetal reduction, selection of the appropriate reduction week, and the expertise of a highly experienced doctor using ultrasound can ensure a wonderful pregnancy outcome in monozygotic multiple pregnancies.

关键词： in vitro fertilization (IVF) monochorionic triplet pregnancy multifetal pregnancyreduction (MFPR) intracytoplasmic sperm injection (ICSI)

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Intrauterine fetal death in triplet gestation caused by feto-fetal transfusion syndrome–a case report

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Forensic Sciences Research 2017年第4期2卷 213-217页

作者： Lingling Long Jie Yan Qiyan Li Ziqi Zhou Haixiao Deng Chudong Wang Ying Zou Jifeng Cai Department of Forensic Science School of Basic Medical ScienceCentral South UniversityChangshaChina Department of Forensic Pathology Hunan Xiangya Judicial Identification CenterChangshaChina

Feto-fetal transfusion syndrome(FFTS)severely affects monochorionic(MC)multiple pregnancies and affects 1 in 1600 pregnancies *** number of increasing disputed obstetrics cases in China is related to unavailability of prompt diagnosis of *** present here a woman with a MC triplet pregnancy with intrauterine fetal death at 33 weeks of gestation due to *** pathological anatomy showed that the MC placenta contained vascular anastomoses,including arterio-arterial anastomosis and arterio-venous *** anastomoses led to unidirectional blood flow with the absence of adequate compensatory counter-transfusion and bi-directional *** encountering such challenging conditions,medical practitioners should discreetly compare the fetuses’characteristics with features of placental blood vessels and consult morphological and pathological ***,they should perform ultrasound examinations,particularly focussing on fetal size differences and the maximum vertical pocket in the diagnosis of FFTS,especially in MC multiple pregnancies with abdominal symptoms.

关键词： Feto-fetal transfusion syndrome monochorionic triplet pregnancy vascular anastomoses intrauterine fetal death obstetrics

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