Can multiple pregnancies lead to reduced pregnancy

Having multiple pregnancies is generally possible to reduce pregnancy, but it is necessary to strictly evaluate the mother's health status and fetal development. Fetal reduction surgery is usually suitable for high-risk multiple pregnancies, such as three or more pregnancies, pregnant women with serious underlying diseases, or fetuses with fatal deformities. Reducing pregnancy should be done under the guidance of a professional doctor, and the appropriate timing should be selected based on factors such as gestational age and fetal position.

Fetal reduction surgery is usually performed in early pregnancy to reduce surgical risks. Doctors will use ultrasound guidance to locate the target fetus, and selectively reduce the fetus through methods such as potassium chloride injection to preserve well-developed embryos. Surgery has minimal interference in preserving the fetus, but there is a slight risk of miscarriage. After surgery, it is necessary to closely monitor the growth and development of the remaining fetus and the mother's condition, and if necessary, provide measures such as luteal support to protect the fetus.

In special circumstances, reducing pregnancy may be limited, such as when the gestational age exceeds the safe window for reducing pregnancy, when the placenta is in a special position, or when the pregnant woman has coagulation dysfunction. If there is selective fetal growth restriction in some twin pregnancies, fetal reduction may also be considered. However, a more cautious assessment is needed for twin reduction, as the risk of complications in twin pregnancies is significantly lower than in pregnancies with three or more pregnancies.

Fetal reduction is an invasive procedure that must be performed at a medical institution with prenatal diagnostic qualifications. Preoperative genetic testing, ultrasound evaluation, and maternal coagulation function testing should be completed. After surgery, adequate rest should be maintained, vigorous exercise should be avoided, and regular ultrasound examinations should be conducted to observe and preserve the condition of the fetus. Pay attention to supplementing high-quality protein and vitamins in diet, maintain emotional stability, and seek medical attention immediately if you experience abdominal pain or vaginal bleeding. The final decision on whether to reduce the pregnancy should be made jointly by obstetricians and the pregnant woman's family after sufficient communication.