Selective pregnancy reduction, also known as embryo reduction or Multifeta reduction, is a medical procedure performed during a multiple pregnancy (two or more fetuses) to reduce the number of fetuses. This procedure is often recommended to ensure a safer pregnancy for both the mother and the remaining fetuses, lowering the risk of complications.
The primary reason for considering embryo reduction is the high risk associated with multiple pregnancies, particularly in cases of triplets, quadruplets, or more. However, if the gynecologist considers it to be a high-risk pregnancy, it may also be recommended in a twin gestation.
The risks associated with multiple pregnancies include:
Selective reduction is generally performed between 10 and 13 weeks of pregnancy, following the first ultrasound. This timing allows for the natural possibility of embryo self-reduction during the first trimester and enables the gynecologist to assess fetal characteristics, such as:
By evaluating these factors, the gynecologist can make an informed decision on which fetus to reduce, ensuring the best outcome for the remaining fetuses and the mother.
Selective reduction is typically performed via the abdominal route, guided by ultrasound. During the procedure, a needle is inserted through the abdomen, and a potassium chloride solution is injected into the selected fetus’s thorax, causing immediate cessation of cardiac activity. The procedure is similar to amniocentesis and is usually done under local anesthesia. Over the following days or weeks, the terminated fetus is naturally reabsorbed by the uterine tissues.
What are the risks?
There is a 5-15% chance of miscarriage, depending on how many babies are reduced.
Any pre-procedure preparation?
Make sure to bring your doctor’s prescription or request letter. Have your husband accompany you. Schedule your appointment in advance.
What precautions after?
No restrictions on daily activities. Spotting or mild cramping for a couple hours is normal – take any prescribed medication. Report fever, heavy bleeding, leaking fluid or contractions to the hospital right away.
Follow up with scans?
Visit the doctor after one week for a heart check of the remaining baby. Return at 16-17 weeks for a cervical length measurement.
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We add-on scans and labs strive to be the first choice in healthcare by providing high quality services to improve diagnostic services in health care.
To book a blood test, or an online blood collection or to enquire about our services,
call +91-9900811118 or visit our website