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Multifetal pregnancy reduction is a procedure that is used to reduce the number of fetuses in a pregnant woman\'s womb in a multiple pregnancy to one or two. Dr. Neha Gupta is the best fetal medicine specialist who is highly qualified and trained in this procedure.
To whom multifetal pregnancy reduction is offered?
When there are more than one fetuses in your womb, there is a possibility of miscarrying the entire pregnancy or early delivery. Babies who are born too soon have the risk of developing jaundice, infection, injuries to the brain, breathing problems, feeding problems and require ICU care.
Mothers are also at increased risk of complications during pregnancy like high blood pressure, high sugars, anemia, preterm delivery.
These problems are more pronounced especially when there are 3 or more babies. Hence, your obstetrician will suggest you consult a fetal medicine specialist to discuss multifetal pregnancy reduction. Multifetal pregnancy reduction is also offered in those cases in which one of the babies has a lethal structural abnormality.
What are the benefits of Multifetal Pregnancy Reduction?
It decreases the risk of preterm delivery by about 30-40%.
The procedure of Multifetal pregnancy reduction
It\'s usually done per abdomen. First, an ultrasound is done to know the type of multiple pregnancy. We look for a structural abnormality in any of the babies in your womb. If the initial screening looks ok, we select the baby that is far away from the mouth of the uterus and is easily accessible.
With the help of an ultrasound, a local anesthetic is injected into the underlying skin so that you don’t feel any pain. We introduce the needle from the tummy into the selected fetus’s heart. We inject medicine like KCL into the heart. The heartbeat stops. We observe for a little while and then the needle is withdrawn.
Those multiple pregnancies where the placenta is shared, a different procedure called laser or radiofrequency ablation is used. The fetal medicine specialist will discuss with you if this kind of procedure is required.
Contact us if you have any queries or want an appointment about multifetal pregnancy reduction our maternal-fetal neonatal medicine specialist will answer all your questions.
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