TY - JOUR
T1 - Recovery of second trimester pre-eclampsia after fetal reduction of a triplet
AU - de Weg, Jeske M. Bij
AU - de Groot, Christianne J.
AU - Pajkrt, Eva
AU - de Boer, Marjon A.
PY - 2019/9/1
Y1 - 2019/9/1
N2 - Women with a multiple pregnancy are at increased risk of developing hypertensive disorders of pregnancy. We describe a case of a dichorionic triamniotic triplet pregnancy complicated by severe hypertension, proteinuria and maternal symptoms, fitting with the diagnosis of pre-eclampsia, apart from the early gestational age of only 16 weeks. After reduction of the monochorionic pair, the disease resolved and pre-eclampsia was diagnosed again at 30 weeks of gestation, resulting in a delivery on maternal indication at 33 weeks of gestation. In a review of the literature, we found six papers including eight cases on multifetal pregnancy reduction on maternal indication. Multifetal pregnancy reduction resulted in a prolongation of pregnancy of two to 21 weeks and may be considered in extreme early onset pre-eclampsia in dichorionic multiple pregnancies.
AB - Women with a multiple pregnancy are at increased risk of developing hypertensive disorders of pregnancy. We describe a case of a dichorionic triamniotic triplet pregnancy complicated by severe hypertension, proteinuria and maternal symptoms, fitting with the diagnosis of pre-eclampsia, apart from the early gestational age of only 16 weeks. After reduction of the monochorionic pair, the disease resolved and pre-eclampsia was diagnosed again at 30 weeks of gestation, resulting in a delivery on maternal indication at 33 weeks of gestation. In a review of the literature, we found six papers including eight cases on multifetal pregnancy reduction on maternal indication. Multifetal pregnancy reduction resulted in a prolongation of pregnancy of two to 21 weeks and may be considered in extreme early onset pre-eclampsia in dichorionic multiple pregnancies.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85072372238&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/31537585
U2 - https://doi.org/10.1136/bcr-2018-227667
DO - https://doi.org/10.1136/bcr-2018-227667
M3 - Article
C2 - 31537585
SN - 1757-790X
VL - 12
JO - BMJ Case Reports
JF - BMJ Case Reports
IS - 9
M1 - e227667
ER -