Abstract
Objective To determine whether reduction of twin gestation to singleton pregnancy is associated with improved perinatal outcome. Design A retrospective cohort study. Setting Single tertiary care medical center. Patient(s) A cohort of 63 singleton pregnancies after reduction from dichorionic-diamniotic twins gestation and 62 dichorionic-diamniotic nonreduced twins. Intervention(s) Fetal reduction between 11 and 14 weeks of gestation. Main Outcome Measure(s) Obstetric outcome. Result(s) The rates of preterm delivery at Conclusion(s) Fetal reduction of twins to singleton is associated with a lower risk of prematurity and superior perinatal outcome compared with nonreduced twins. Therefore, the option of fetal reduction should be considered in certain cases of twin pregnancies, where the risk for adverse outcome seems exceptionally high.
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