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Volume : 1 Issue : 3 Year : 2023

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Comparison of Intracardiac and Intrathecal KCL Application as an Alternative Method in the Reduction of Multiple Pregnancies in the First Trimester: Results of a Tertiary Centre [Acad J Health]
Acad J Health. 2023; 1(3): 76-80 | DOI: 10.14744/ajh.2023.60362

Comparison of Intracardiac and Intrathecal KCL Application as an Alternative Method in the Reduction of Multiple Pregnancies in the First Trimester: Results of a Tertiary Centre

Gizem Aktemur, Betul Tokgöz, Sadun Sucu, Gülşan Karabay, Mevlut Bucak, Can Ozan Ulusoy, cantekin iskender
Department of Obstetrics and Gynecology, Ankara Etlik City Hospital, Ankara, Türkiye

INTRODUCTION: This retrospective study compares the outcomes of intracranial (IC) and intrathoracic (IT) potassium chloride (KCl) applications for fetal reduction in multiple pregnancies.
METHODS: Nineteen patients undergoing termination between December 2022 and November 2023 were analyzed. Transabdominal IC (n=8) and IT (n=11) KCl groups were compared for maternal age, gestational age, indication for reduction, and procedural details. P-values <0.05 were interpreted as statistically significant.
RESULTS: While both groups exhibited similar maternal characteristics, the number of fetuses before reduction differed significantly (p=0.016). No significant distinctions were observed in operative time, reduction outcomes, or obstetric complications between the IC and IT groups (p>0.05). Premature rupture of membranes occurred in 13.3% (IT) and 23.1% (IC), with no significant intergroup differences.
DISCUSSION AND CONCLUSION: The study suggests that IC KCl application may be a viable alternative, potentially simplifying the procedure without compromising safety or efficacy. The findings advocate for a nuanced approach to selecting the reduction method based on fetal position and number, highlighting the need for further research with larger sample sizes.

Keywords: Fetal reduction, intracardiac fetosid, intrathecal fetosid, multiple pregnancy

Gizem Aktemur, Betul Tokgöz, Sadun Sucu, Gülşan Karabay, Mevlut Bucak, Can Ozan Ulusoy, cantekin iskender. Comparison of Intracardiac and Intrathecal KCL Application as an Alternative Method in the Reduction of Multiple Pregnancies in the First Trimester: Results of a Tertiary Centre. Acad J Health. 2023; 1(3): 76-80

Corresponding Author: Gizem Aktemur, Türkiye
Manuscript Language: English