Resumen

SANCHEZ RAMIREZ, Niobys; CARRILLO BERMUDEZ, Lourdes; SANABRIA ARIAS, Ana Mary  y  OLIVELLA MEJIA, Lorena. Embryo reduction in twin pregnancy. Rev Cubana Obstet Ginecol [online]. 2019, vol.45, n.2  Epub 02-Jun-2019. ISSN 1561-3062.

Embryonic reduction is the selective interruption of the development of one or several fetuses in the first trimester of pregnancy. Twin pregnancy occurs in approximately one in every 100 births. It is considered an entity with high maternal and fetal risk. Multiple pregnancies have greater impact on health systems due to the higher frequency of complications. Premature rupture of membranes causes approximately 40 % of preterm births and, consequently, it contributes 10 % of perinatal mortality according to the Spanish Society of Gynecology and Obstetrics. In this clinical case it was observed that an expectant attitude with the relevant ultrasound (index of amniotic fluid), analytical (leukocyte count and polymerase chain reaction) and clinical (heart rate and temperature) controls can lead to good postnatal evolution, justified at least on this occasion, a conservative attitude.

Palabras clave : twin pregnancy; selective feticide; Preterm PROM; conservative treatment.

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