Multi fetal Reduction.
Multifetal reduction is a specialized fetal medicine procedure considered in selected multiple pregnancies when reducing the number of fetuses may be medically appropriate. The procedure is carefully planned after detailed ultrasound assessment, counselling and discussion of the potential benefits, risks and available alternatives. The aim is to support safer pregnancy management while taking the individual pregnancy and family’s circumstances into consideration.
Detailed Ultrasound Assessment
Ultrasound-Guided Procedure
Multi fetal Reduction.
Number of Fetuses
Chorionicity & Amnionicity
Fetal Abnormality in twins
Fetal Viability
Individual Fetal Growth
Maternal Assessment
Individualized Pregnancy Planning
When Is It Recommended?
Multifetal reduction is not routinely required for every multiple pregnancy. It may be considered in selected pregnancies after detailed assessment and specialist counselling.
- It may be discussed in triplet or higher-order multiple pregnancies.
- It may be considered when continuing the pregnancy with a very high number of fetuses presents significant maternal or fetal risks.
- It may be discussed when one or more fetuses have a serious fetal abnormality or significant genetic condition, depending on the individual circumstances.
- The type of multiple pregnancy, including whether fetuses share a placenta, is important when considering management options.
- Detailed ultrasound assessment and appropriate prenatal diagnostic testing may be recommended before making a decision.
Important Information
Multifetal reduction is a complex and highly individualized fetal medicine procedure. It involves important medical, emotional and ethical considerations and should only be undertaken after detailed specialist counselling and informed decision-making.
- The procedure does not guarantee an uncomplicated pregnancy.
- There is a risk of pregnancy loss and other complications, and the risk depends on factors such as gestational age, number of fetuses and type of multiple pregnancy.
- The outcome may differ depending on whether the fetuses share a placenta.
- Additional ultrasound monitoring is generally required following the procedure.
- The decision should be made after discussing the available options, including continuation of the multiple pregnancy and other appropriate management strategies.