ArticleJournal of pregnancy2026
Selective Reduction of Multiple Pregnancies Into Singleton Pregnancy: Treatment Analysis for Fetal Position.
Article in Journal of pregnancy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Selective Reduction of Multiple Pregnancies Into Singleton Pregnancy: Treatment Analysis for Fetal Position.Journal of pregnancy · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe rise in assisted reproductive technology has increased the prevalence of high-risk triplet pregnancies. Dichorionic triamniotic (DCTA) triplets-where a monochorionic-diamniotic (MCDA) twin pair shares a placenta-carry significant risks, including twin-to-twin transfusion syndrome. Although reducing a multifetal pregnancy to a singleton via MFPR leads to better outcomes, how the location of the reduced fetus within the uterus affects the success of the pregnancy is not addressed in current clinical guidance.
objectivesThis study compares obstetric outcomes based on the location of the reduced MCDA twin pair (superior vs. inferior position) in DCTA triplet pregnancies.
methodsA retrospective analysis was conducted on 200 patients who underwent MFPR to a singleton between 2013 and 2024. Patients were divided into Group A (MCDA pair located farther from the cervix/superior) and Group B (MCDA pair located closer to the cervix/inferior). Primary outcomes included miscarriage rates (before 24 weeks) and gestational age at delivery.
resultsGroup A demonstrated a significantly lower miscarriage rate (4.1% vs. 17.9%, p = 0.001) and a higher mean gestational age at delivery (38.38 vs. 37.36 weeks, p = 0.015) compared to Group B. Additionally, the incidence of low birth weight was significantly lower in Group A (10.3% vs. 26.6%, p = 0.004). No significant differences were found in perinatal death or Apgar scores between the groups.
conclusionsIn DCTA pregnancies, reducing the MCDA twin located farther from the cervix is associated with lower miscarriage rates and improved gestational outcomes.
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