Subscribe to RSS
DOI: 10.1007/s40556-016-0099-6
Diachorionic Triamniotic Triplets—Saline Cardiac Tamponade for Fetal Reduction: A Novel Approach
Abstract
Artificial reproductive techniques are helping the infertile couples to conceive but with an inherent risk of multifetal pregnancy. Multifetal pregnancies more so; multiple monochorionic pregnancies endanger both the fetus and the mother with an increased risk for morbidity and pregnancy loss. The reduction of multifetal pregnancy using Potassium chloride (KCl) is a usual procedure to reduce multiple pregnancies; but gets complicated in case of monochorionic multiple pregnancies like diachorionic trimnioitc triplets in which KCl cannot be used. In this scenario, the usual procedure for fetal reduction might endanger both the fetuses with common placenta (monochorionic twins). Normal saline was used to create cardiac tamponade to achieve cardiac asystole, which is a novel way of reducing the multiple fetuses with common placentas without an adverse effect on the other co-twin and effect of maternal spillage of the drug commonly used.
Publication History
Received: 12 April 2016
Accepted: 01 August 2016
Article published online:
08 May 2023
© 2016. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India