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Selective Fetal Reduction

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Selective Fetal Reduction

Selective fetal reduction is a procedure used in multiple pregnancies to reduce the number of fetuses to improve outcomes for the remaining ones, often done when carrying multiples poses significant health risks to the mother and fetuses. Performed via ultrasound guidance, it involves injecting a substance into the heart or umbilical cord of one or more fetuses to stop their heartbeat. The procedure carries a miscarriage risk of approximately 2-5% for the remaining fetuses. No special preparation is needed, but consultation with your healthcare provider is crucial to understand the risks and benefits. Post-procedure, bed rest or reduced activity may be recommended, and any severe abdominal pain, bleeding, or contractions should be promptly reported to your healthcare provider.

Here's a breakdown of the procedure:

Purpose: To improve the chances of survival for the remaining fetuses and to reduce the risks to the mother.

Procedure: Performed under ultrasound guidance, a substance is injected into the heart or umbilical cord of one or more fetuses to stop their heartbeat.

Risks: While generally considered safe, there is a small risk of miscarriage for the remaining fetuses.

Post-Procedure Care: Bed rest or reduced activity may be recommended, and any unusual symptoms should be reported to your healthcare provider.

It’s important to note that this is a complex decision with significant ethical and emotional implications. If you’re facing a multiple pregnancy and considering selective fetal reduction, it’s crucial to have a thorough discussion with your healthcare provider to understand the risks, benefits, and potential alternatives.

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