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KMID : 1101620180290040180
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Perinatology
2018 Volume.29 No. 4 p.180 ~ p.184
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Monochorionic Triamniotic Triplet Pregnancy Following Assisted Reproductive Technology and Radiofrequency Ablation for Selective Reduction
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Lee Jeong-Heon
Oh Su-Hyun
Hong Ah-Reum
Jeong Young-Ju
Cho Sung-Nam
Cho Dong-Hyu
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Abstract
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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.
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KEYWORD
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Triplets, Fertilization in vitro, Radiofrequency ablation
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