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All Journal Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
Putri Mirani
Maternal-Fetal Division Department of Obstetrics and Gynecology Faculty of Medicine University of Indonesia Dr. Cipto Mangunkusumo Hospital Jakarta
Health Professions Medicine & Pharmacology Public Health

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Selective Termination for Fetal Anomaly in Twin Pregnancy Putri Mirani
Indonesian Journal of Obstetrics and Gynecology Volume 37, No. 1, January 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.41 KB) | DOI: 10.32771/inajog.v37i1.337

Abstract

Objective: To discussed the ethical aspects, the technique, optimal timing and the possible outcome of selective termination in anomalous twin pregnancy. Case description: A 28-year old primigravida, 21 weeks twin gestation, with giant hygroma coli in one fetus. The normal fetus was compressed by the anomalous fetus with oligohydramnios. The parent decided to undergo selective termination of the abnormal fetus. The procedure perform was intracardiac injection of potassium chloride (KCl). Eight milliliters of KCl were injected into fetal cardiac, followed by bradicardia and asystole of the anomalous twin. A week after the procedure, the normal fetus also died and delivered spontaneously after induction. Conclusion: Selective termination for fetal anomaly in twin pregnancy have some aspects to be considered. Keywords: selective feticide, selective termination
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