Selective Fetal Reduction
Selective Fetal Reduction is a specialized fetal procedure performed in multiple pregnancies to improve the health and survival chances of the remaining fetus(es). It is undertaken in carefully selected medical situations where continuation of all fetuses may pose serious risks to the mother or the surviving babies.
What Is Selective Fetal Reduction?
Selective Fetal Reduction is a targeted medical procedure in which one or more fetuses in a multiple pregnancy are reduced under continuous ultrasound guidance. The goal is to improve pregnancy outcomes when one fetus has a severe abnormality or when there is a significant risk to maternal or fetal health.
When Is Selective Reduction Advised?
- Higher-order multiple pregnancies (triplets or more)
- Severe structural or chromosomal abnormality in one fetus
- Complications in monochorionic twin pregnancies
- Selective fetal growth restriction
- Conditions threatening maternal health
How Is the Procedure Performed?
The procedure is performed under continuous high-resolution ultrasound guidance. A fine needle is carefully inserted through the abdominal wall into the targeted fetal heart, and the reduction is completed with utmost precision. It is usually performed between 11–14 weeks of pregnancy in multifetal pregnancies.
Is Hospital Admission Required?
Selective Fetal Reduction is usually performed as a Day Care procedure. The patient is observed for a few hours after the procedure and can go home the same day if stable.
What Are the Benefits of Selective Reduction?
- Improves survival chances of the remaining fetus(es)
- Reduces the risk of extreme prematurity
- Decreases maternal pregnancy-related complications
- Improves overall pregnancy outcomes
What Are the Risks Involved?
Like all invasive fetal procedures, selective fetal reduction carries a small risk of miscarriage, infection, bleeding, or preterm labor. However, when performed by an experienced fetal medicine specialist, the procedure is considered safe and well-controlled.
Post-Procedure Care and Follow-Up
After the procedure, regular ultrasound follow-up is essential to monitor the health and growth of the remaining fetus(es). Medications and rest may be advised depending on individual clinical conditions.
Emotional Support & Counseling
Selective fetal reduction is medically complex as well as emotionally challenging. Detailed counseling is provided before and after the procedure to help parents understand the indications, risks, outcomes, and emotional aspects involved.
Why Choose Dr. Ashwini Rathi for Selective Fetal Reduction?
- MD, MRCOG qualified Fetal Medicine Specialist
- Extensive experience in advanced invasive fetal procedures
- High-precision ultrasound-guided interventions
- Strong focus on maternal and fetal safety
- Ethical decision-making with compassionate counseling
At Dr. Ashwini Rathi’s fetal medicine unit, Selective Fetal Reduction is performed with the highest standards of precision, safety, and sensitivity to ensure the best possible outcomes for both mother and baby.