Perinatal outcome of multiple pregnancies: are multifetal reductions still justifiable in Switzerland?

Introduction: Despite all precautions in the assisted reproductive techniques the incidence of multiple gestations is still high. As a result of the perceived poor neonatal outcome of these babies, certain authors still recommend fetal reduction for multiple pregnancies including triplets. Material and Methods: A retrospective evaluation of the neonatal outcome of all triplets and quadruplets managed in the University Hospital Berne between 2000–2006. Results: Clinical data from 28 sets of triplets (15 trichorial, 8 dichorial, 5 monochorial) and 2 sets of quadruplets (1 trichorial-tetraamniot,1 dichorial-tetraam…