Fetal Reduction
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What is fetal or embryo reduction?
Fetal Reduction is a procedure used to reduce the number of fetuses in a multiple pregnancy, usually to two to decrease the health risks to the mother & decrease the risk of complications to the remaining fetuses. The goal of fetal reduction is to increase the chance of a successful, healthy pregnancy.
Symptoms of Fetal Reduction
Fetal reduction is a procedure, not a condition. Before the procedure, you may have a multiple pregnancy (twins, triplets, or more) detected on ultrasound.
Causes of Fetal Reduction
Multiple pregnancy (often from IVF or ovulation induction) is the reason fetal reduction may be considered. High-order multiples increase risks to mother and babies.
Diagnosis of Fetal Reduction
Multiple pregnancy is confirmed by ultrasound. A detailed scan around 11–13 weeks helps assess fetuses and guide decisions.
Treatment for Fetal Reduction
Fetal reduction is one option when carrying multiple fetuses. The procedure reduces the number of fetuses to lower risks. Alternatives include continuing the multiple pregnancy with close monitoring.
How Fetal Reduction Affects Fertility
Fetal reduction aims to improve the chance of a healthy pregnancy and live birth by reducing the risks of prematurity and complications associated with high-order multiples. It does not affect future fertility.
Managing Fetal Reduction
After the procedure, rest as advised and report fever, bleeding, leaking, or contractions. Follow-up scans monitor the remaining fetus(es).