{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:08:27Z","timestamp":1787843307408,"version":"build-2784847793"},"reference-count":36,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,6,22]],"date-time":"2019-06-22T00:00:00Z","timestamp":1561161600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Many studies have shown that multifetal reduction of high\u2010order multiple pregnancies results in improved pregnancy outcomes. However, whether conducting elective fetal reduction from dichorionic twins after in vitro fertilization (<jats:styled-content style=\"fixed-case\">IVF<\/jats:styled-content>) is worthwhile remains controversial. This study aimed to determine whether elective fetal reduction of dichorionic twins after <jats:styled-content style=\"fixed-case\">IVF<\/jats:styled-content> and embryo transfer (<jats:styled-content style=\"fixed-case\">IVF<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ET<\/jats:styled-content>) is associated with increased take\u2010home baby rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>This was a retrospective cohort study of 3600 dichorionic twin pregnancies after <jats:styled-content style=\"fixed-case\">IVF<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ET<\/jats:styled-content>. The reduced group included 71 women with transvaginal elective fetal reduction between 7 and 8\u00a0weeks of gestation. The control group (n\u00a0=\u00a03529) comprised women who were managed expectantly. Propensity score matching was conducted before pregnancy outcomes were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The take\u2010home baby rate was significantly lower in the reduced group (83.1% vs 92.8%, <jats:italic>P\u00a0<\/jats:italic>=\u00a00.004). The total miscarriage rate was significantly higher in the reduced group (12.7% vs 6.2%, <jats:italic>P\u00a0<\/jats:italic>=\u00a00.04). Although preterm delivery rate was lower in the reduced group (<jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.001), over 90% were over 32\u00a0weeks, whereas the proportions were equal in the reduced group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In dichorionic twin pregnancies after <jats:styled-content style=\"fixed-case\">IVF<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">ET<\/jats:styled-content>, elective fetal reduction to singleton significantly decreased the chance of taking home live babies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13640","type":"journal-article","created":{"date-parts":[[2019,5,13]],"date-time":"2019-05-13T11:11:40Z","timestamp":1557745900000},"page":"1274-1281","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Is it worth reducing twins to singletons after <scp>IVF<\/scp>\u2010<scp>ET<\/scp>? 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