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Chapter-14 Fetal Reduction

BOOK TITLE: An Introduction to Genetics and Fetal Medicine

Author
1. Rao Kamini A
2. B Anita
3. Rajan Revathi S
ISBN
9788184489606
DOI
10.5005/jp/books/11186_14
Edition
2/e
Publishing Year
2010
Pages
5
Author Affiliations
1. Bangalore Assisted Conception Centre, Bangalore, Milann Fertility Centre, Bangaluru, Karnataka, India, Milann—The Fertility Center, Bengaluru, Karnataka, India, Milann (A Unit of BACC Health care Private Limited), Bengaluru, Karnataka, India, Milann (A Unit of BACC Healthcare Pvt Ltd), Bengaluru, Karnataka, India, Milann (A Unit of BACC, Healthcare Pvt Ltd), Bengaluru, Karnataka, India, Milann Group of Fertility Centers, Bengaluru, Karnataka, India, Bengaluru, Karnataka, India, Bengaluru, Milann—The Fertility Center (A Unit of BACC Healthcare Pvt Ltd), Bengaluru, Karnataka, India, Milann—The Fertility Center (A Unit of BACC Health Care Pvt Ltd), Bengaluru, Karnataka, India, Bangalore Assisted Conception Centre, Bangalore, Karnataka, India, BACC Health Care Private Limited, Bengaluru, Karnataka, India, Bangalore Assisted Conception Center (BACC), Bengaluru, Karnataka, India, FOGSI-2001; Bangalore Assisted Conception Center (An ISO 9002 Organization), Karnataka, India, Bangalore Assisted, Conception Centr
2. Bangalore Assisted Conception Center Pvt Ltd, Bengaluru, Karnataka, India
3. Bangalore Assisted Conception Centre (P) Ltd, Bengaluru, Karnataka, India, BACC Health Care (P) Ltd, Bangaluru, Karnataka, India, Milann—The Fertility Center (A Unit of BACC Healthcare Pvt. Ltd.), Bengaluru, Karnataka, India, Mirror Health, Bengaluru, Karnataka, India
Chapter keywords

Abstract

Ideally fetal reduction is usually scheduled between 11 and 12 weeks of pregnancy, as by this time spontaneous fetal demises if they should occur, would have already occurred. It is not uncommon to have a failed attempt of fetal reduction. Hence, careful mapping of the fetus (to be reduced) is crucial, as the surviving fetus after a failed attempt of reduction can have sequelae. Thus, all attempts to complete the procedure in a single sitting is preferred. Multifetal pregnancy reduction is a procedure which is performed to achieve a pregnancy resulting in the live birth of one or more healthy infants with very minimal neonatal morbidity and mortality. Long-term consequences like \"Postabortion Survivor Syndrome\" which reflects the psychological impact of fetal reduction needs to be studied. Studies have shown that triplet and other higher order pregnancies to twins improves the perinatal outcome. No significant differences in perinatal outcome was observed between reduced and nonreduced twins. Transabdominal multifetal pregnancy reduction was associated with a poor outcome when compared to transvaginal or transcervical methods which gradually improved with the operator\'s experience. Pregnancy loss rates greatly depend upon the experience of the operator and the number of fetuse at start and at the end of the procedure. Optimizing Assisted Reproductive Techniques is the best solution to reduce the need for invasive procedures like fetal reduction.

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