Selective Fetal Reduction

Specialized Multiple Pregnancy Care

What Is Selective Fetal Reduction?

Selective Fetal Reduction is a specialized procedure considered in certain multiple pregnancies to reduce the number of developing fetuses or, in selected cases, address a serious condition affecting one fetus.

It may be discussed when a multiple pregnancy carries substantial risks for the pregnant patient or the developing babies, or when one fetus has a serious medical condition.

Before any decision, a fetal medicine specialist performs a detailed assessment and explains the available options, possible outcomes and associated risks.

The approach depends on factors such as the number of fetuses, gestational age, placental arrangement and the reason for considering the procedure.

Ultrasound evaluation is especially important to understand the pregnancy's anatomy, including whether the fetuses share a placenta, because this can affect which approaches may be appropriate.

Selective reduction involves significant medical and emotional considerations. Counselling should support informed, voluntary decision-making, with clear discussion of alternatives and the possibility of pregnancy complications or loss.