Volume 7, Issue 6, December 2018, Page: 218-222
Pregnancy Outcomes and Nursing Care in a Large Cohort of Multiple Pregnancy Cases Undergoing Transvaginal Multifetal Pregnancy Reduction
Mingfen Deng, Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China; Guangdong Provincial Key Laboratory of Reproductive Medicine, Guangzhou, China
Yulian Liang, Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China; Guangdong Provincial Key Laboratory of Reproductive Medicine, Guangzhou, China
Hua Qin, Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China; Guangdong Provincial Key Laboratory of Reproductive Medicine, Guangzhou, China
Li Zhou, Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China; Guangdong Provincial Key Laboratory of Reproductive Medicine, Guangzhou, China
Liping Chen, Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China; Guangdong Provincial Key Laboratory of Reproductive Medicine, Guangzhou, China
Lu Luo, Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China; Guangdong Provincial Key Laboratory of Reproductive Medicine, Guangzhou, China
Received: Sep. 17, 2018;       Accepted: Oct. 6, 2018;       Published: Oct. 29, 2018
DOI: 10.11648/j.ajns.20180706.13      View  142      Downloads  5
Abstract
Assisted reproductive techniques (ART) frequently result in multiple pregnancy, which in some cases poses a danger to the mother and may reduce fetal health and take-home baby rate. These adverse outcomes may be mitigated by transvaginal pregnancy reduction, but the perioperative nursing care related to good outcome has not been reported in large cohorts. This study therefore analyzed the pregnancy outcomes of twin and triplet pregnancies following early transvaginal multifetal pregnancy reduction, and summarized the experiences of perioperative nursing care. A total of 204 twin or triplet pregnancies conceived by ART who underwent transvaginal multifetal pregnancy reduction during gestational week 7 to 8 were retrospectively analyzed. Main outcome measures included operation success rate as well as rates of spontaneous abortion, preterm delivery, and cesarean section. Birth weight, gestational age at delivery, and take-home baby rate were also analyzed. The success rate of multifetal reduction was 100% with no perioperative complications. Pregnancy outcome after multifetal pregnancy reduction was satisfactory, with a take-home baby rate of 76.9% for twin-to singleton, 89.5% for triplet-to-twin reduction, and 92.3% for triplet-to singleton reduction. Perioperative nursing procedures critical for good outcome included facilitation of routine preoperative tests for surgical contraindications, pre- and intra-operative stress and anxiety counseling, disinfection and flushing of the vagina and perineum, inspection of aspiration equipment, postoperative management of diet, and education on postoperative signs of abnormality. In conclusion, multifetal reduction achieved satisfactory pregnancy outcomes. Efficient nursing care during the perioperative period is one of the most important factors for improved outcome following multifetal pregnancy reduction.
Keywords
Multifetal Fetal Reduction, Assisted reproductive Technique, Multiple Pregnancy, Pregnancy Outcome, Nursing Care
To cite this article
Mingfen Deng, Yulian Liang, Hua Qin, Li Zhou, Liping Chen, Lu Luo, Pregnancy Outcomes and Nursing Care in a Large Cohort of Multiple Pregnancy Cases Undergoing Transvaginal Multifetal Pregnancy Reduction, American Journal of Nursing Science. Vol. 7, No. 6, 2018, pp. 218-222. doi: 10.11648/j.ajns.20180706.13
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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