{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T12:03:26Z","timestamp":1789646606897,"version":"4.0.0"},"reference-count":30,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejog.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.ejogrb.2026.115391","type":"journal-article","created":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T21:40:49Z","timestamp":1787521249000},"page":"115391","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Practices and perspectives on multifetal pregnancy reduction in triplet pregnancies: A Dutch mixed-methods study"],"prefix":"10.1016","volume":"326","author":[{"given":"Petra M.","family":"van Baar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Pajkrt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyran G.","family":"Thoutenhoofd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lidewij","family":"van de Mheen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marjon A.","family":"de Boer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christianne J.M.","family":"de Groot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria G.","family":"van Pampus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejogrb.2026.115391_b0005","doi-asserted-by":"crossref","unstructured":"American College of Obstetricians and Gynecologists\u2019 Committee on Ethics. Committee Opinion No. 719: Multifetal pregnancy reduction. Obstet Gynecol 2017;130:e158\u201363.","DOI":"10.1097\/AOG.0000000000002302"},{"key":"10.1016\/j.ejogrb.2026.115391_b0010","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1056\/NEJM198804213181607","article-title":"Selective reduction of multifetal pregnancies in the first trimester","volume":"318","author":"Berkowitz","year":"1988","journal-title":"N Engl J Med"},{"key":"10.1016\/j.ejogrb.2026.115391_b0015","first-page":"873","article-title":"Selective reduction: an unfortunate misnomer","volume":"75","author":"Berkowitz","year":"1990","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ejogrb.2026.115391_b0020","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1186\/s12884-022-04617-y","article-title":"Pregnancy and obstetric outcomes of dichorionic and trichorionic triamniotic triplet pregnancy with multifetal pregnancy reduction: a retrospective analysis study","volume":"22","author":"Liu","year":"2022","journal-title":"BMC Pregnancy Childbirth"},{"key":"10.1016\/j.ejogrb.2026.115391_b0025","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.bpobgyn.2022.04.003","article-title":"Fetal reduction for everyone?","volume":"84","author":"Evans","year":"2022","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"10.1016\/j.ejogrb.2026.115391_b0030","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.rbmo.2017.05.012","article-title":"Multifetal pregnancy reduction of triplets to twins compared with non-reduced triplets: a meta-analysis","volume":"35","author":"Zipori","year":"2017","journal-title":"Reprod Biomed Online"},{"key":"10.1016\/j.ejogrb.2026.115391_b0035","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1159\/000357974","article-title":"Fetal reduction: 25 years' experience","volume":"35","author":"Evans","year":"2014","journal-title":"Fetal Diagn Ther"},{"key":"10.1016\/j.ejogrb.2026.115391_b0040","doi-asserted-by":"crossref","first-page":"954","DOI":"10.1093\/humrep\/des023","article-title":"Assisted reproductive technology in Europe, 2007: results generated from European registers by ESHRE","volume":"27","author":"de Mouzon","year":"2012","journal-title":"Hum Reprod"},{"key":"10.1016\/j.ejogrb.2026.115391_b0045","doi-asserted-by":"crossref","unstructured":"Nyboe Andersen A, Goossens V, Bhattacharya S, et al. Assisted reproductive technology and intrauterine inseminations in Europe, 2005: results generated from European registers by ESHRE: ESHRE. The European IVF Monitoring Programme (EIM), for the European Society of Human Reproduction and Embryology (ESHRE). Hum Reprod 2009;24:1267\u201387.","DOI":"10.1093\/humrep\/dep035"},{"key":"10.1016\/j.ejogrb.2026.115391_b0050","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.ss7104a1","article-title":"Assisted reproductive technology surveillance \u2013 United States, 2018","volume":"71","author":"Sunderam","year":"2022","journal-title":"MMWR Surveill Summ"},{"key":"10.1016\/j.ejogrb.2026.115391_b0055","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/s12958-016-0225-2","article-title":"Systematic review of worldwide trends in assisted reproductive technology 2004\u20132013","volume":"15","author":"Kushnir","year":"2017","journal-title":"Reprod Biol Endocrinol"},{"key":"10.1016\/j.ejogrb.2026.115391_b0060","unstructured":"CBS. Births; key figures, sex and multiplicity. CBS; 2024. Available at: https:\/\/opendata.cbs.nl\/statline\/#\/CBS\/en\/dataset\/85722ENG\/table?dl=B2FF2."},{"key":"10.1016\/j.ejogrb.2026.115391_b0065","doi-asserted-by":"crossref","first-page":"e145","DOI":"10.1097\/AOG.0000000000004397","article-title":"Multifetal gestations: twin, triplet, and higher-order multifetal pregnancies: ACOG Practice Bulletin, Number 231","volume":"137","author":"Anonymous.","year":"2021","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ejogrb.2026.115391_b0070","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1097\/00003081-200403000-00023","article-title":"Maternal complications associated with multiple pregnancy","volume":"47","author":"Devine","year":"2004","journal-title":"Clin Obstet Gynecol"},{"key":"10.1016\/j.ejogrb.2026.115391_b0075","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ogc.2004.10.005","article-title":"Fetal and neonatal mortality risks of multiple births","volume":"32","author":"Alexander","year":"2005","journal-title":"Obstet Gynecol Clin"},{"key":"10.1016\/j.ejogrb.2026.115391_b0080","doi-asserted-by":"crossref","unstructured":"van de Mheen L, Everwijn SM, Knapen MF, et al. The effectiveness of multifetal pregnancy reduction in trichorionic triplet gestation. Am J Obstet Gynecol 2014;211:536e1\u20136.","DOI":"10.1016\/j.ajog.2014.04.023"},{"key":"10.1016\/j.ejogrb.2026.115391_b0085","doi-asserted-by":"crossref","unstructured":"Luke B, Brown MB. Maternal morbidity and infant death in twin vs triplet and quadruplet pregnancies. Am J Obstet Gynecol 2008;198:401e1\u201310.","DOI":"10.1016\/j.ajog.2007.10.785"},{"key":"10.1016\/j.ejogrb.2026.115391_b0090","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1055\/s-0030-1255177","article-title":"Multifetal pregnancy reduction: evolution of the ethical arguments","volume":"28","author":"Evans","year":"2010","journal-title":"Semin Reprod Med"},{"issue":"555","key":"10.1016\/j.ejogrb.2026.115391_b0095","first-page":"e1","article-title":"Triple trouble: uncovering the risks and benefits of early fetal reduction in trichorionic triplets in a large national Danish cohort study","volume":"229","author":"Kristensen","year":"2023","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ejogrb.2026.115391_b0100","doi-asserted-by":"crossref","first-page":"160","DOI":"10.14740\/jcgo322w","article-title":"Outcomes of triplets reduced to twins versus non-reduced triplet pregnancies","volume":"4","author":"Raval","year":"2015","journal-title":"J Clin Gynecol Obstet"},{"key":"10.1016\/j.ejogrb.2026.115391_b0105","doi-asserted-by":"crossref","DOI":"10.3389\/fendo.2022.851167","article-title":"Fetal reduction could improve but not completely reverse the pregnancy outcomes of multiple pregnancies: experience from a single center","volume":"13","author":"Yimin","year":"2022","journal-title":"Front Endocrinol (Lausanne)"},{"key":"10.1016\/j.ejogrb.2026.115391_b0110","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1093\/humrep\/12.3.617","article-title":"Psychological reactions after multifetal pregnancy reduction: a 2-year follow-up study","volume":"12","author":"Garel","year":"1997","journal-title":"Hum Reprod"},{"key":"10.1016\/j.ejogrb.2026.115391_b0115","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1093\/humrep\/dead275","article-title":"Considering multifetal pregnancy reduction in triplet pregnancies: do we forget the emotional impact on fathers? A qualitative study from The Netherlands","volume":"39","author":"van Baar","year":"2024","journal-title":"Hum Reprod"},{"key":"10.1016\/j.ejogrb.2026.115391_b0120","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1002\/pd.6724","article-title":"Confronting the taboo of multifetal pregnancy reduction: a qualitative study of maternal decision-making in triplet pregnancies","volume":"45","author":"van Baar","year":"2025","journal-title":"Prenat Diagn"},{"key":"10.1016\/j.ejogrb.2026.115391_b0125","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/S0015-0282(16)57654-7","article-title":"The psychological effects of multifetal pregnancy reduction","volume":"64","author":"McKinney","year":"1995","journal-title":"Fertil Steril"},{"key":"10.1016\/j.ejogrb.2026.115391_b0130","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1111\/tog.12690","article-title":"Multifetal pregnancy reduction and selective termination","volume":"22","author":"Beriwal","year":"2020","journal-title":"Obstet Gynaecol"},{"key":"10.1016\/j.ejogrb.2026.115391_b0135","unstructured":"National Institute for Health and Care Excellence. Twin and triplet pregnancy. NG137. London: NICE; 2019."},{"key":"10.1016\/j.ejogrb.2026.115391_b0140","first-page":"119","article-title":"First trimester anesthesia exposure and fetal outcome","volume":"58","author":"Allaert","year":"2007","journal-title":"A review. Acta Anaesthesiol Belg"},{"key":"10.1016\/j.ejogrb.2026.115391_b0145","series-title":"Registries for evaluating patient outcomes: a user's guide","article-title":"Methods for effective health care","author":"Agency for Healthcare Research and Quality","year":"2014"},{"key":"10.1016\/j.ejogrb.2026.115391_b0150","article-title":"Methodological aspects of focus groups in health research: results of qualitative interviews with focus group moderators","volume":"3","author":"Tausch","year":"2016","journal-title":"Glob Qual Nurs Res"}],"container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211526004598?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211526004598?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T11:30:54Z","timestamp":1789644654000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0301211526004598"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":30,"alternative-id":["S0301211526004598"],"URL":"https:\/\/doi.org\/10.1016\/j.ejogrb.2026.115391","relation":{},"ISSN":["0301-2115"],"issn-type":[{"value":"0301-2115","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Practices and perspectives on multifetal pregnancy reduction in triplet pregnancies: A Dutch mixed-methods study","name":"articletitle","label":"Article Title"},{"value":"European Journal of Obstetrics & Gynecology and Reproductive Biology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejogrb.2026.115391","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"115391"}}