{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T11:24:16Z","timestamp":1783596256444,"version":"3.55.0"},"reference-count":13,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Dichorionic triamniotic (DCTA) and monochorionic triamniotic (MCTA) triplet pregnancies are associated with significant maternal and fetal risks. Multifetal pregnancy reduction (MPR) or selective reduction (SR) may improve outcomes, but data specific to these complex chorionic configurations are limited. The aim of the present study was to evaluate fetal reduction strategies and pregnancy outcomes in DCTA and MCTA triplets.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included 19 triplet pregnancies (14 DCTA, 5 MCTA) managed with MPR or SR at a tertiary care center in India between January 2021 and January 2025. Reductions were performed using intracardiac potassium chloride (KCl) or radiofrequency ablation (RFA), based on chorionicity and patient choice. Outcomes assessed included live birth, gestational age at delivery, and procedural complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 19 pregnancies, 10 were reduced to singletons and nine to twins (5 MCDA, 4 DCDA). The overall live birth rate was 89.47% (17\/19), with 80% in singletons and 100% in twins. Preterm delivery occurred in 89.47% of pregnancies, with 15.78% delivering before 28\u2009weeks. Premature rupture of membranes (PPROM) occurred in four cases (21.05%). Among DCTA pregnancies, RFA was associated with a 100% live birth rate and no extreme preterm births. Complications related to monochorionicity were observed in 31.57% of pregnancies before reduction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MPR and SR in DCTA and MCTA triplets are feasible and can yield favorable outcomes when tailored to chorionicity and gestational age. These findings add to existing evidence supporting early, tailored fetal reduction in high\u2010order multiple pregnancies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71213","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T10:49:58Z","timestamp":1783594198000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fetal reduction strategies in dichorionic triamniotic and monochorionic triamniotic triplets and pregnancy outcome: A cohort study"],"prefix":"10.1002","author":[{"given":"Vatsla","family":"Dadhwal","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7369-2007","authenticated-orcid":false,"given":"K. Aparna","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anubhuti","family":"Rana","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3867-262X","authenticated-orcid":false,"given":"Tanisha","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"issue":"7","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"1871","DOI":"10.3390\/jcm11071871","article-title":"Maternal, perinatal and neonatal outcomes of triplet pregnancies according to Chorionicity: A systematic review of the literature and meta\u2010analysis","volume":"11","author":"Bernal Claverol M","year":"2022","journal-title":"J Clin Med"},{"issue":"12","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.1002\/pd.5852","article-title":"Triplet pregnancy: What do we tell the prospective parents","volume":"41","author":"Mhatre M","year":"2021","journal-title":"Prenat Diagn"},{"key":"e_1_2_9_4_1","unstructured":"BerkowitzRL LynchL.Multifetal Pregnancy Reduction and Selective Termination.2024https:\/\/www.uptodate.com\/contents\/multifetal\u2010pregnancy\u2010reduction\u2010and\u2010selective\u2010termination"},{"issue":"3","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.ajog.2022.03.050","article-title":"Fetal reduction of triplet pregnancies to twins vs singletons: A meta\u2010analysis of survival and pregnancy outcome","volume":"227","author":"Hessami K","year":"2022","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/j.ejogrb.2021.07.021","article-title":"Expectant management versus multifetal pregnancy reduction in dichorionic triamniotic (DCTA) triplets: Single centre experience","volume":"264","author":"Shaw CJ","year":"2021","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"1","key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/s12958-024-01199-6","article-title":"Pregnancy and obstetric outcomes of dichorionic triamniotic triplet pregnancies with selective foetal reduction after assisted reproductive technology","volume":"22","author":"Liu S","year":"2024","journal-title":"Reprod Biol Endocrinol"},{"issue":"1","key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1186\/s12884-020-2815-4","article-title":"Pregnancy outcomes of dichorionic triamniotic triplet pregnancies after in\u00a0vitro fertilization\u2010embryo transfer: Multifoetal pregnancy reduction versus expectant management","volume":"20","author":"Cai P","year":"2020","journal-title":"BMC Pregnancy Childbirth"},{"issue":"2","key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1002\/ijgo.13785","article-title":"Perinatal outcome in monochorionic twin pregnancies after selective fetal reduction using radiofrequency ablation","volume":"157","author":"Dadhwal V","year":"2022","journal-title":"Int J Gynecol Obstet"},{"issue":"2","key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"79","DOI":"10.4274\/jtgga.galenos.2018.2018.0052","article-title":"Selective fetal reduction in monochorionic twins: Preliminary experience","volume":"20","author":"Dadhwal V","year":"2019","journal-title":"J Turk Ger Gynecol Assoc"},{"key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"372","DOI":"10.5468\/ogs.25049","article-title":"Perinatal outcomes after radiofrequency ablation for selective fetal reduction in complicated monochorionic pregnancies: A single\u2010center experience","volume":"68","author":"Sharma KA","year":"2025","journal-title":"Obstet Gynecol Sci"},{"issue":"11","key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"1442","DOI":"10.1002\/pd.6437","article-title":"Outcomes of fetal reduction versus expectant management in dichorionic triamniotic triplets","volume":"43","author":"Meng X","year":"2023","journal-title":"Prenat Diagn"},{"issue":"6","key":"e_1_2_9_13_1","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1016\/j.tjog.2019.09.011","article-title":"Comparisons between two methods of multifetal pregnancy reduction in women with a dichorionic triamniotic triplet pregnancy","volume":"58","author":"Zhou AJ","year":"2019","journal-title":"Taiwan J Obstet Gynecol"},{"issue":"8","key":"e_1_2_9_14_1","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1002\/pd.6161","article-title":"Outcome of monochorionic triamniotic triplet pregnancies: Expectant management versus fetal reduction","volume":"42","author":"Meng X","year":"2022","journal-title":"Prenat Diagn"}],"container-title":["International Journal of Gynecology &amp; 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