Selective reduction

Selective reduction is a medical procedure used in pregnancy to reduce the number of fetuses in a multiple pregnancy, usually to a twin pregnancy. This procedure is typically performed in the first trimester of pregnancy.

Overview

Selective reduction is often used in cases of multiple pregnancy where the health of the mother or the fetuses is at risk. The procedure involves the use of ultrasound to guide a needle to one or more of the fetuses. A solution is then injected into the fetus, which causes it to stop growing. The remaining fetuses continue to develop normally.

Risks and Benefits

The main benefit of selective reduction is that it can significantly reduce the risk of complications associated with multiple pregnancies, such as preterm birth, low birth weight, and preeclampsia. However, the procedure itself carries risks, including the possibility of miscarriage or damage to the remaining fetuses.

Ethical Considerations

Selective reduction raises ethical issues, as it involves the intentional termination of one or more fetuses. These issues are often complex and can vary depending on individual beliefs and circumstances.

See Also

• Multiple pregnancy
• Twin pregnancy
• Preterm birth
• Low birth weight
• Preeclampsia

Selective reduction

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  Ultrasound of the Week
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  Acardiac twin