Is it possible to selectively reduce the fetus in a twin pregnancy? Which fetus is better?

Background introduction

With the advancement of technology, twin pregnancies are no longer a rare occurrence. In twin pregnancies, some problems sometimes occur, such as fetal failure, fetal death, etc. For these problems, some doctors may recommend selective fetal reduction. So, is it possible to selectively reduce fetuses in twin pregnancies? Which fetus is better to choose? This will be elaborated on from various aspects below.

The necessity of selective tire reduction

In a twin pregnancy, your doctor may recommend selective fetal reduction if the following problems exist:
1. Fetal underdevelopment or death: If one fetus fails to develop or dies, it may have effects on the other fetus, such as tumors, hypoxia, premature birth, and death.
2. Physical condition of the pregnant woman: If the pregnant woman suffers from certain diseases, such as heart disease, high blood pressure, etc., she may not be able to bear a twin pregnancy.
3. Increased risk of pregnancy and childbirth: Twin pregnancy may increase the risk of postpartum hemorrhage, premature birth, etc. for pregnant women.

Risks and Problems of Choosing to Reduce Tires

Although selective tire reduction is sometimes necessary, there are risks and problems:
1. Damage to twins adverse to reduced gas and blood supply.
2. Abortion during surgery.
3. Emotional and psychological problems: On the other hand, fetal reduction can lead to a situation similar to miscarriage, which may also cause long-term psychological burden on the pregnant woman and the family.

Determine which fetus should be selected

If doctors decide to perform an elective reduction, they are also responsible for determining which fetus should be selected. Typically, which fetus to choose depends on several factors:
1. The health status of the fetus: If the health status of one fetus is more susceptible to damage than the other fetus, then the healthier fetus is usually chosen to be retained.
2. Position of the fetus: If the position of the fetus makes selective reduction more difficult, retaining the fetus that is easier to protect may be a better option.
3. Pregnant woman and family choice: Sometimes, the doctor will also ask the pregnant woman and her family which fetus they want to keep.

Summary

Before making the decision to undergo elective reduction in a twin pregnancy, many factors need to be considered and the decision carefully weighed. Selective fetal reduction can have serious emotional and psychological consequences for women and families, so a pregnant woman and her family should be fully supported during this process.

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