Fetal Reduction

Fetal reduction, also known as selective reduction, is a medical procedure performed during a multifetal pregnancy (a pregnancy with more than one fetus). This procedure aims to reduce the number of fetuses in the womb to improve the chances of a successful and healthy pregnancy. Fetal reduction can help lower the risks associated with high-order multiple pregnancies, such as preterm birth, developmental issues, and complications for the mother.

At AVA Clinics and Fetal Centre, we understand the emotional and physical complexities surrounding fetal reduction. Our team of experienced specialists is dedicated to providing compassionate care and support throughout this delicate process. We prioritize your health and well-being, ensuring you receive the best possible care tailored to your specific needs.

The Fetal Reduction Procedure

Fetal reduction is typically performed between the 10th and 13th weeks of pregnancy. The procedure involves using ultrasound guidance to identify and reduce the number of fetuses. Here’s a step-by-step overview of what you can expect:

  1. Pre-Procedure Consultation: You will have a detailed consultation with our maternal-fetal medicine specialist to discuss the procedure, its risks, and benefits. We will also address any questions or concerns you may have.
  2. Ultrasound Examination: An ultrasound is performed to visualize the fetuses and determine their positions.
  3. Procedure: Using ultrasound guidance, a fine needle is inserted through the abdomen into the uterus. A medication is then injected into the selected fetus, which stops its heart. The procedure is usually performed under local anesthesia.
  4. Post-Procedure Care: After the procedure, you will be monitored for a few hours to ensure there are no immediate complications. Follow-up appointments will be scheduled to monitor the remaining fetuses’ health and your well-being.

Benefits of Fetal Reduction

  • Reduced Risk of Preterm Birth: By reducing the number of fetuses, the risk of preterm birth significantly decreases, allowing the remaining fetuses to develop more fully.
  • Improved Maternal Health: Lowering the number of fetuses can reduce the strain on the mother’s body, decreasing the risk of pregnancy-related complications such as gestational diabetes, high blood pressure, and preeclampsia.
  • Enhanced Fetal Development: Fewer fetuses in the womb can lead to better growth and development outcomes for the remaining fetuses.
Fetal reduction, like any medical procedure, carries certain risks. These may include miscarriage, infection, bleeding, or preterm labor. However, the procedure's benefits often outweigh these risks, especially in high-order multiple pregnancies. Our specialists will discuss all potential risks and benefits with you in detail.
Deciding to undergo fetal reduction is a deeply personal decision. Our team at AVA Clinics and Fetal Centre will provide you with comprehensive information and support to help you make an informed choice. We will consider your medical history, the specifics of your pregnancy, and your overall health to guide you through this decision.
At AVA Clinics and Fetal Centre, we offer ongoing support after the fetal reduction procedure. This includes regular follow-up appointments to monitor your health and the health of the remaining fetuses. Our team is also available to provide emotional support and counseling to help you navigate any feelings or concerns you may have post-procedure.