{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T08:25:35Z","timestamp":1783412735577,"version":"3.54.6"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,10,4]],"date-time":"2018-10-04T00:00:00Z","timestamp":1538611200000},"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":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The present study investigates the procedure\u2010related fetal loss rate and obstetrical outcomes of selective feticide in dichorionic twins.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed the data of 44 cases of dichorionic twins. Two different indications for selective feticide were set: (i) the presence of genetic or congenital anomaly; and (ii) an obstetrical indication specified as a past maternal history of preterm delivery that caused fetal death or cerebral palsy of the child. Primarily, data on procedure\u2010related fetal loss and obstetrical outcomes were retrieved. Additionally, data on obstetrical outcomes by reduction time and by indication of SF were obtained.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Selective feticide was performed in 44 cases \u2013 specifically, in 23 cases with genetic or congenital anomaly and in 21 cases with obstetrical indications. The median gestational age at delivery was 38\u2009+\u20094 weeks. One pregnancy loss (2.3%, 1\/44) occurred within 4 weeks after the procedure. The overall pregnancy loss rate throughout the pregnancy term was 2.3% (1\/44). When selective feticide was performed at 15\u2009weeks and beyond, the birth weight was significantly decreased compared with when selective feticide was performed earlier than 15\u2009weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Transabdominal ultrasound\u2010guided selective feticide in dichorionic twins is an effective and safe procedure. If a patient desires to maximize her chances of having a healthy child and decrease the risk of prematurity, the option of selective feticide should be considered in certain cases of twin pregnancies. Selective feticide may be a reasonable alternative to expectant management or termination of the whole twin pregnancy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13830","type":"journal-article","created":{"date-parts":[[2018,10,6]],"date-time":"2018-10-06T02:50:27Z","timestamp":1538794227000},"page":"299-305","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Transabdominal selective feticide in dichorionic twins: Ten years\u2019 experience at a single center"],"prefix":"10.1111","volume":"45","author":[{"given":"Mi Sun","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology CHA Bundang Medical Center  Seongnam Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun Duc","family":"Na","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology CHA Bundang Medical Center  Seongnam Republic of 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