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When is selective reduction recommended?

When is selective reduction recommended?

In cases of high multiple pregnancies, doctors will often recommend selective reduction for purely medical reasons. Early in the pregnancy, one or more of the fetuses are aborted from within the womb to increase the likelihood that the remaining babies (and the mother) will survive and thrive.

Is selective reduction an abortion?

Selective reduction is arguably more objectionable than abortion because it deliberately targets and destroys a particular fetus, whereas abortion is not designed to take the life of the fetus; instead, the termination of fetal life is simply a by- product of the abortion procedure.

What is the treatment for multiple pregnancy?

Usually, if the first fetus is not vertex, both babies are delivered by cesarean. Most triplets and other higher-order multiples are born by cesarean. Vaginal delivery may take place in an operating room because of the greater risks for complications during birth and the potential need for cesarean delivery.

Can you abort only one twin?

At least some recent studies suggest that while twin pregnancies are more difficult than singletons in many respects, aborting the other twin does not reduce the risks of the pregnancy – at least not to the same extent.

How can I prevent multiple pregnancies?

Multiple pregnancies seem to be prevented by in vitro fertilisation with single embryo transfer and in vitro fertilisation in a modified natural cycle, but this will be acceptable only if these interventions are as effective as intrauterine insemination with controlled ovarian hyperstimulation in terms of live birth …

Can 1 embryo become triplets?

However, despite performing SET, multiple pregnancies do happen due to a phenomenon known as ‘zygotic splitting’, when one embryo divides resulting in twins or triplets. It is more prevalent following SET than in spontaneous conception.

Are triplets a pregnancy risk?

The most common pregnancy complication with triplets or more is premature birth. Your healthcare team will also keep an eye on your own health. Carrying multiple babies puts you at higher risk of: pre-term labour — going into labour early.

What are the signs of multiple pregnancy?

Symptoms and Diagnosis of Multiple Pregnancy

  • Uterus is larger than expected for the dates in pregnancy.
  • More morning sickness.
  • Greater appetite.
  • Too much weight gain, especially in early pregnancy.
  • Fetal movements felt in different parts of the stomach at the same time.

Can you be pregnant with triplets and miscarry one?

Identifying twin pregnancies earlier than ever reveals losses that went undetected before the days of early ultrasounds. One of these losses is the miscarriage of a twin (or a triplet), a phenomenon known as vanishing twin syndrome.

What is the reason of multiple pregnancy?

Multiple pregnancy usually happens when more than one egg is fertilized. It also can happen when one egg is fertilized and then splits into 2 or more embryos that grow into 2 or more babies. When one fertilized egg splits into 2, the babies are called identical twins.

When are twins formed?

Identical twins occur when a single fertilized egg splits into two. Identical twins look almost exactly alike and share the exact same genes. Most identical twins happen by chance. Fraternal twins occur when two, separate eggs are fertilized by two, separate sperm.

Can I choose to have twins?

Although there are no proven ways to increase the likelihood of conceiving twins, there are certain factors that can make this type of pregnancy more likely. Twins can occur either when two separate eggs become fertilized in the womb or when a single fertilized egg splits into two embryos.

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Ruth Doyle