ACOG committee opinion. Number 369. June 2007. Multifetal pregnancy reduction. 2007


Counseling for treatment of infertility should include a discussion of the risks of multifetal pregnancy, multifetal pregnancy reduction should be discussed with patients before the initiations of any treatment that could increase the risk of multifetal pregnancy. In almost all cases, it is preferable to terminate an ovulation induction cycle or limit the number of embryos to be transferred to prevent a situation in which fetal reduction will have to be considered. The best interest of the patient and the future child or children should be at the center of the risk-benefit equation. Although no physicians need to perform fetal reductions if they believe that such procedures are morally unacceptable, all obstetricians and gynecologist should be aware of the medical and ethical issues in these complex situations and be prepared to respond in a professional, ethical manner.

UI MeSH Term Description Entries
D009774 Obstetrics A medical-surgical specialty concerned with management and care of women during pregnancy, parturition, and the puerperium.
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011272 Pregnancy, Multiple The condition of carrying two or more FETUSES simultaneously. Multiple Pregnancy,Multiple Pregnancies,Pregnancies, Multiple
D003376 Counseling The giving of advice and assistance to individuals with educational or personal problems.
D004992 Ethics, Medical The principles of professional conduct concerning the rights and duties of the physician, relations with patients and fellow practitioners, as well as actions of the physician in patient care and interpersonal relations with patient families. Medical Ethics
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.
D018607 Pregnancy Reduction, Multifetal Selective abortion of one or more embryos or fetuses in a multiple gestation pregnancy. The usual goal is to improve the outcome for the remaining embryos or fetuses. Embryo Reduction,Fetal Reduction,Fetal Termination, Selective,Multifetal Pregnancy Reduction,Embryo Reductions,Fetal Reductions,Fetal Terminations, Selective,Multifetal Pregnancy Reductions,Pregnancy Reductions, Multifetal,Reduction, Embryo,Reduction, Fetal,Reduction, Multifetal Pregnancy,Reductions, Embryo,Reductions, Fetal,Reductions, Multifetal Pregnancy,Selective Fetal Termination,Selective Fetal Terminations,Termination, Selective Fetal,Terminations, Selective Fetal
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