Embryo Reduction to Twins (ERTT) Versus Cerclage in Triplets in Women with Normal Cervical Parameters: A Retrospective Study

Document Type : Original Article

Authors

1 Obstetrics and Gynecology, faculty of medicine,Tanta University, Tanta, Egypt

2 Obstetrics and Gynecology , Faculty of medicine, Benha University, Benha, Egypt

Abstract

Objective: To compare the efficacy and safety of ERTT to cerclage in triplet pregnancy.  Material and Methods: In this retrospective study, files of 266 patients were examined. Eligible patients managed by ERTT (n=120) were allocated into study group while patients managed by cerclage (n=121) were allocated into control group. Embryo reduction was done by oocyte aspiration needle before 10th week. Cerclage was done at 14-16 weeks. Obstetrical and neonatal adverse outcomes were assessed in both groups.  Results: One hundred and twenty cases were allocated in cerclage (control) group, and 121 cases were allocated in ERTT (study) group. There was significant difference between both groups regarding abortion rate (P-value=0.002), delivery time (P-value=0.0001), gestational age at time of delivery (P-value=0.0001), and mode of delivery (P-value=0.0002). There was a significant difference between both groups regarding fetal birth weight (P-value=0.0002), overall neonatal complications (P value 0.009), and need for NICU (P=value 0.0003).  Conclusion: Embryo reduction to twins (ERTT) procedures improved obstetrical and neonatal outcomes in triplet pregnancies compared to conservative management with cerclage procedure.

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Evidence Based Women's Health Journal
Volume 12, Issue 4
November 2022
Pages 345-351

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