IMR Press / CEOG / Volume 42 / Issue 5 / DOI: 10.12891/ceog1898.2015

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
Selective termination in discordant twin pregnancy with early onset preeclampsia: case report
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1 Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu (China)
Clin. Exp. Obstet. Gynecol. 2015, 42(5), 696–697; https://doi.org/10.12891/ceog1898.2015
Published: 10 October 2015
Abstract

Objective: To study the effectiveness of selective termination for discordant twins in treating early onset preeclampsia. Materials and Methods: After literature review, ethical review, and discussion with the couple, one patient with early onset preeclampsia complicated with a lethal condition in one twin, was performed selective termination by intracardiac injection of potassium chloride at 27 weeks’ and four days’ gestation in an effort to reverse preeclampsia and prolong the pregnancy. Results: The clinical manifestation of preeclampsia was alleviated in this patient. At 29 weeks, the stillborn fetus was delivered because of spontaneous preterm labor. A live birth was achieved five days later. All procedures allowed continuation of the pregnancy for an additional two weeks and one day of the remaining fetus. Conclusion: Selective termination may be an option for treating early onset preeclampsia in discordant twins, instead of termination of whole pregnancy.
Keywords
Dichorionic pregnancy
Early onset preeclampsia
Discordant twins
Selective termination
Delayed-interval delivery
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