Saturday, April 28, 2012

Multi-fetal Pregnancy Reduction

Carried out in a quadruplet pregnancy.

First fetus - injected amniotic fluid 5 ml intra-thoracically, but as it failed, injected 2 ml KCL intra-thoracically. It's important to verify that heart stopped for sometime, and then withdraw the needle.

Second fetus, repeated the injection of amniotic fluid, and it acted to cause a temponade on the heart, and stop it. amniotic fluid may be useful in mono-amniotic twins, in which continuation of pregnancy is very risky to both fetuses, and reduction carries risk too, due to intense vascular anastamoses.

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