Perinatology

The Korean Society of Perinatology (대한주산의학회)
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Monochorionic Triamniotic Triplet Pregnancy Following Assisted Reproductive Technology and Radiofrequency Ablation for Selective Reduction

  • Lee, Jeong-Heon (Department of Obstetrics and Gynecology, Chonbuk National University Medical School) ;
  • Oh, Su-Hyun (Department of Obstetrics and Gynecology, Chonbuk National University Medical School) ;
  • Hong, Ah-Reum (Department of Obstetrics and Gynecology, Chonbuk National University Medical School) ;
  • Jeong, Young-Ju (Department of Obstetrics and Gynecology, Chonbuk National University Medical School) ;
  • Cho, Sung-Nam (Department of Obstetrics and Gynecology, Chonbuk National University Medical School) ;
  • Cho, Dong-Hyu (Department of Obstetrics and Gynecology, Chonbuk National University Medical School)
  • Received : 2018.03.30
  • Accepted : 2018.09.05
  • Published : 2018.12.31
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Abstract

In assisted reproductive techniques, monozygotic twinning is not influenced by the trial of reducing the number of embryos transferred. We present extremely rare case of monochorionic triamniotic triplet pregnancy following in vitro fertilization and two-embryo transfer. During the first trimester, the crucial ultrasound findings of monochorionic triamniotic triplet pregnancy are three distinct amniotic sacs forming a triangle or ipsilon zone within a single chorionic cavity. After prudential counseling about the potential risk of a monochorionic triamniotic triplet pregnancy with the patient, selective reduction of two fetuses via radiofrequency ablation was performed. We report a case of selective reduction for monochorionic triamniotic triplet pregnancy using radiofrequency ablation at 12 weeks' gestation and obstetric progression after radiofrequency ablation was uneventful until 20 weeks' gestation.

Keywords

References

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