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CC BY-NC-ND 4.0 · Journal of Fetal Medicine 2023; 10(04): 164-166
DOI: 10.1055/s-0044-1778737
SFM Practice Guidelines

SFM Fetal Therapy Practice Guidelines: Fetal Reduction

Sangeeta Gupta 
1   Department of Obstetrics and Gynecology, Maulana Azad Medical College, New Delhi, India
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Abstract

The indications of fetal reduction can be multifetal reduction (MFR) or selective fetal reduction. In MFR, the objective is to reduce the number of fetuses, whereas in selective fetal reduction the abnormal fetus is targeted for reduction. Reduction in the monochorionic twin pairs resulted in the most favorable pregnancy outcome among triplets and should be recommended whenever fetal reduction is an option. Selective termination by potassium chloride injection is contraindicated with monochorionic gestations because death of the unaffected twin occurs in 80 to 100% of cases. The standard operating procedures discuss various aspects of fetal reduction in detail like indications, consent, procedural details, risks and complications, and follow-up. It also gives a report template that can be used in your clinical practice.

Keywords

dichorionic - fetal reduction - monochorionic twin pairs - multifetal reduction - selective fetal reduction

Author's Contribution

S.G. conceived the article, prepared and formatted the manuscript, critically revised the manuscript, and approved the final version




Publication History

Article published online:
14 February 2024

© 2024. 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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