{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T10:49:40Z","timestamp":1782298180676,"version":"3.54.5"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"vor","delay-in-days":174,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pregnancy"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The rise in assisted reproductive technology has increased the prevalence of high\u2010risk triplet pregnancies. Dichorionic triamniotic (DCTA) triplets\u2014where a monochorionic\u2010diamniotic (MCDA) twin pair shares a placenta\u2014carry significant risks, including twin\u2010to\u2010twin transfusion syndrome. Although reducing a multifetal pregnancy to a singleton via MFPR leads to better outcomes, how the location of the reduced fetus within the uterus affects the success of the pregnancy is not addressed in current clinical guidance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study compares obstetric outcomes based on the location of the reduced MCDA twin pair (superior vs. inferior position) in DCTA triplet pregnancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on 200 patients who underwent MFPR to a singleton between 2013 and 2024. Patients were divided into Group A (MCDA pair located farther from the cervix\/superior) and Group B (MCDA pair located closer to the cervix\/inferior). Primary outcomes included miscarriage rates (before 24 weeks) and gestational age at delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Group A demonstrated a significantly lower miscarriage rate (4.1% vs. 17.9%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001) and a higher mean gestational age at delivery (38.38 vs. 37.36 weeks,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.015) compared to Group B. Additionally, the incidence of low birth weight was significantly lower in Group A (10.3% vs. 26.6%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.004). No significant differences were found in perinatal death or Apgar scores between the groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In DCTA pregnancies, reducing the MCDA twin located farther from the cervix is associated with lower miscarriage rates and improved gestational outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jp\/6113048","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T10:35:25Z","timestamp":1782297325000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Selective Reduction of Multiple Pregnancies Into Singleton Pregnancy: Treatment Analysis for Fetal Position"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1041-8688","authenticated-orcid":false,"given":"Haiyan","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6990-7995","authenticated-orcid":false,"given":"Run","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuan","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7354-0767","authenticated-orcid":false,"given":"Yanmin","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2022-2220","authenticated-orcid":false,"given":"Zhuyu","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"e_1_2_17_1_2","doi-asserted-by":"publisher","DOI":"10.1053\/sper.2002.34775"},{"key":"e_1_2_17_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004397"},{"key":"e_1_2_17_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f7603"},{"key":"e_1_2_17_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(22)00159-6"},{"key":"e_1_2_17_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.06.081"},{"key":"e_1_2_17_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62698-7"},{"key":"e_1_2_17_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003932.pub3"},{"key":"e_1_2_17_8_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.160722"},{"key":"e_1_2_17_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2023.05.029"},{"key":"e_1_2_17_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.03.050"},{"key":"e_1_2_17_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dex084"},{"key":"e_1_2_17_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13348"},{"key":"e_1_2_17_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.26256"},{"key":"e_1_2_17_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.11.986"},{"key":"e_1_2_17_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000044500"},{"key":"e_1_2_17_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(90)90550-o"},{"key":"e_1_2_17_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.10.110"},{"key":"e_1_2_17_18_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.106856"},{"key":"e_1_2_17_19_2","first-page":"194","article-title":"Chinese Guidelines for Multifetal Pregnancy Reduction (2016)","volume":"26","author":"Hu L.-L.","year":"2017","journal-title":"Journal of Reproductive Medicine"},{"key":"e_1_2_17_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/tog.12690"},{"key":"e_1_2_17_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/pd.5753"},{"key":"e_1_2_17_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002670"},{"key":"e_1_2_17_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2025.108076"},{"key":"e_1_2_17_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2018.01.020"},{"key":"e_1_2_17_25_2","volume-title":"Obstetrics and Gynecology","author":"Kong B. 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