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CC BY-NC-ND 4.0 · Journal of Fetal Medicine 2017; 04(04): 193-198
DOI: 10.1007/s40556-017-0137-z
Review Article

Multifetal Pregnancy Reduction

Vatsla Dadhwal
1   Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Ansari Nagar, 110029, New Delhi, India
,
Kavita Khoiwal
1   Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Ansari Nagar, 110029, New Delhi, India
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Abstract

Multifetal pregnancy increases maternal, fetal and neonatal complications, most important being preterm delivery and complications of prematurity. Fetal reduction is a procedure for reducing the number of fetuses to a more manageable number. Reduction of triplet or higher order pregnancy is acceptable and the ending number is usually two. Fetal reduction reduces the risk of preterm delivery. Intracardiac/intrathoracic KCl is used for fetal reduction in multichorionic pregnancy. This is not a viable option in monochorionic pregnancy, where vaso-occlusive methods are used.

Keywords

Multiple pregnancy - Fetal reduction - Selective termination - Monochorionic


Publication History

Received: 01 February 2017

Accepted: 23 August 2017

Article published online:
08 May 2023

© 2017. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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