Over the last four decades, the increase in assisted reproductive medicine has led to a growing incidence of multiple pregnancies. As a result, Multifetal Pregnancy Reduction, which consists of reducing the number of fetuses, usually in the late first trimester, has become a method to avoid complications associated with multiple pregnancies, such as fetal loss and preterm birth. In this paper, we will discuss the ethical dilemmas surrounding this issue by reviewing various possible situations and reexamining the laws regulating elective abortion to develop a bioethical discussion underlining clinical practice.
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Voluntary multifetal pregnancy reduction: who should decide and select, and why?
Eur J Obstet Gynecol Reprod Biol
March 2025
Unit of Obstetrics and Gynecology, Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Piazza A. Stefani 1, 37125 Verona, Italy. Electronic address:
Over the last four decades, the increase in assisted reproductive medicine has led to a growing incidence of multiple pregnancies. As a result, Multifetal Pregnancy Reduction, which consists of reducing the number of fetuses, usually in the late first trimester, has become a method to avoid complications associated with multiple pregnancies, such as fetal loss and preterm birth. In this paper, we will discuss the ethical dilemmas surrounding this issue by reviewing various possible situations and reexamining the laws regulating elective abortion to develop a bioethical discussion underlining clinical practice.
View Article and Find Full Text PDFA novel technique with cool-tip radiofrequency ablation for selective fetal reduction in complicated monochorionic twin.
Taiwan J Obstet Gynecol
March 2025
Department of Obstetrics and Gynecology, Taipei Chang Gung Memorial Hospital, Taipei, Taiwan; School of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address:
Objective: To invent a novel method for selective fetal reduction in monochorionic (MC) twin using cool-tip radiofrequency ablation (RFA) and analysis the perinatal outcome.
Material And Methods: Complicated MC twins including twin-to twin transfusion syndrome (TTTS), selective fetal growth restriction (sFGR) and twin reverse arterial perfusion sequence (TRAP) were enrolled from 2020 to 2024. All cases were indicated for selective fetal reduction due to expected poor outcome.
Accuracy of sonographic fetal biometry in estimating intertwin size discordance at birth.
Int J Gynaecol Obstet
March 2025
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Objective: To determine the accuracy of estimated fetal weight (EFW) and abdominal circumference (AC) discordance in diagnosing large birthweight (BW) discordance and selective fetal growth restriction (sFGR).
Methods: Retrospective cohort study of patients with twin pregnancies followed at a tertiary center (N = 1065). We determined the accuracy of intertwin fetal size discordance (based on either EFW or fetal AC) at the last ultrasound exam before birth in estimating birthweight discordance and in diagnosing sFGR at birth.
Corrigendum: Progesterone, cerclage, pessary, or acetylsalicylic acid for prevention of preterm birth in singleton and multifetal pregnancies - A systematic review and meta-analyses.
Front Med (Lausanne)
February 2025
Region Västra Götaland, Sahlgrenska University Hospital, Department of Obstetrics and Gynecology, Gothenburg, Sweden.
[This corrects the article DOI: 10.3389/fmed.2023.
View Article and Find Full Text PDFMode of delivery outcomes of induced versus spontaneous labor in individuals with dichorionic twins.
Am J Perinatol
February 2025
Ob/Gyn, Div of MFM, Mount Sinai School of Medicine, New York, United States.
Objective: To investigate odds of vaginal delivery comparing induced versus spontaneous labor in nulliparas and multiparas with dichorionic twins.
Study Design: Retrospective review of dichorionic twin pregnancies from 2008-2021. Those with scheduled or elective cesarean, malpresentation, prior uterine surgery, fetal anomaly, gestational age (GA) at delivery < 34 weeks, and multifetal reduction were excluded.
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