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Embryonic reduction in a multiple pregnancy

Embryonic reduction in a multiple pregnancy



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This is a sensitive topic for multiple birth parents that is rarely discussed. The embryonic reduction in a multiple pregnancy consists in remove one of the fetuses before birth, so that the rest of the babies can continue to grow without problems in the womb and move forward.

It is not an easy subject for parents, who far from thinking about survival rates for other babies, they live it with anguish and sadness, and with the responsibility of having the last word in this choice.

It's a little surgical intervention, which is performed in the case of having three or more babies in the womb, and that remove one of the fetuses when there is danger to survival of others.

Risks to the mother or fetuses, in the case of multiple pregnancies such as triplets, quadruplets, etc, are very high. The abortion rate multiplies the more babies there are in the uterus, in addition to having a greater chance of being born with Congenital malformations or having a very premature delivery.

Fortunately, the cases in which it is necessary to consider the embryonic reduction in a multiple pregnancy they are only between 1% and 2% of pregnancies, although it is increasing due to the large number of fertility treatments that women undergo in recent years.

Is done between week 10 and 13 of gestation. With the help of an ultrasound machine, the gynecologist inserts a needle through the mother's abdomen, up to the fetus or fetuses that we are going to remove. You are introduced an injection of potassium chloride, what stops the growth of the fetus in the act, which will be reabsorbed by uterine tissue of the woman little by little.

This intervention increases the chances of survival of the rest of fetuses, but also carries risks, how to get an infection, so the mother is given antibiotics before, or abortion after the intervention (between 6% and 7%); To this we must add that there is always the risk that the healthy fetus will be eliminated and the one with the anomaly will be left behind. On the other hand, it is also fatal for the monozygotic twin who shares the placenta and bloodstream with his brother, if he is the one chosen for elimination.

The gynecologist can suggest a selective selection, in which less developed fetuses or with congenital defects are usually chosen. The problem for parents usually comes when the reduction is non-selective, and it is the gynecologist, together with the parents, who choose the fetus to reduce. In these cases, the fetus that is most accessible for the intervention is usually chosen, and its position within the uterus.

Making the decision for an embryonic reduction in a multiple pregnancy is very complicated and it depends on the personal situation of each couple. Is it selfish of us to want all the babies to be born? Will we be putting the rest of the babies at risk if we don't make this decision? Which one will we eliminate? These questions are very stressful and distressing for them, and the decision can be traumatic in the long run if it is not very clear.

On the other hand, sharing these doubts openly with family and friends is complicated by fear of criticism or external influences.

The best way to be sure, whatever decision we make, is consult more than one gynecologist, or a neonatologist, to inform us of the chances of survival of large premature babies and their consequences.

By last,it helps a lot to talk to other parents of multiples so that they tell you their personal experiences.

You can read more articles similar to Embryonic reduction in a multiple pregnancy, in the category of multiple pregnancies on site.


Video: Fetal reduction (August 2022).