Multifetal pregnancy is categorized as-Twins-Triplets-Quadruplets
Triplets to be reduced to twins or singleton
This decision is easy
Pregnancy after secondary infertility treatment
If a couple already has a child then taking decision for fetal reduction can be somewhat easy
Pregnancy after primary infertility treatment
This decision is most difficult.
High risk in twins pregnancy
-Premature babies
-Low birth weight of babies
- High BP & sugar in mother
-Advanced level NICU is required
-Ventilator support is required
Watch for milestones of baby
-Cognitive functions
-Behaviour functions
-Attention span
-Speech
Medical conditions of mother before pregnancy is a factor
-Hypertension
-Diabetes
Emotional aspect of fetal reduction should be considered with utmost care
Cervical cerclage in twins pregnancy will reduce chances of preterm delivery
Complications of fetal reduction
-Spontaneous abortion of second twin
-Missed abortion of second twin
Discuss in detail with your Gynecologist before taking this delicate and important health decision
Consult Dr.Himani Gupta for best pregnancy outcome.