{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T03:24:23Z","timestamp":1778037863032,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T00:00:00Z","timestamp":1684368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the perinatal outcome after fetal reduction in complicated monochorionic (MC) twin pregnancies by comparing different techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study at a national referral center comparing data between four techniques: interstitial laser coagulation, radiofrequency ablation (RFA), fetoscopic laser coagulation (FLC) and bipolar cord coagulation (BCC). The primary outcome was the mortality of the co\u2010twins. Secondary outcomes were preterm pre\u2010labor rupture of membranes (PPROM), gestational age at delivery and neonatal morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>259\u00a0MC twin pregnancies underwent selective fetal reduction: 29 IL, 64 RFA, 85 FLC and 81 BCC. The perinatal mortality rate was 29% and fetal demise of the co\u2010twins occurred in 19%. The lowest mortality rate was seen after BCC (17%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.012). PPROM occurred in 18% patients without significant differences between techniques. The mean gestational age at delivery in liveborn children was 35\u00a0weeks and did not differ between techniques. Severe cerebral injury and neonatal morbidity were reported in 4% and 14%, respectively, without significant differences between techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Selective fetal reductions in MC twins are precarious procedures with an increased risk of perinatal mortality of the co\u2010twins. Our results show the lowest mortality rates after BCC. However, high PPROM rates were seen irrespective of the technique.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pd.6385","type":"journal-article","created":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T03:59:57Z","timestamp":1683863997000},"page":"1028-1035","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Perinatal outcome after selective fetal reduction in monochorionic twin pregnancies: A comparison of techniques over a 20\u2010year period"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0098-7557","authenticated-orcid":false,"given":"M. J. C.","family":"van Hoek","sequence":"first","affiliation":[{"name":"Fetal Therapy Department of Obstetrics Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. M. 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