Fetal reduction in multifetal pregnancy--ethical dilemmas.

Abstract:

:As a result of the increased use of drugs that enhance fertility, and the advent of in vitro fertilization and embryo transfer over the last 2 decades, the incidence of multifetal pregnancies has increased exponentially. In parallel with this increase methods of care for women carrying multiple fetuses have become more complex and well developed. Importantly, it has become obvious that in the case of such pregnancies the rates of mortality and morbidity of both fetuses and mothers, particularly in cases where four or more fetuses are involved, are extremely high. Improvements in the techniques of assisted fertilization should result in fewer iatrogenic multifetal pregnancies and a commensurate decrease in related risks. Fetal reduction seems to be an acceptable method of improving maternal and fetal outcome in high order multiple pregnancies despite the many unresolved medical and ethical dilemmas.

journal_name

Yonsei Med J

journal_title

Yonsei medical journal

authors

Tadin I,Roje D,Banovic I,Karelovic D,Mimica M

doi

10.3349/ymj.2002.43.2.252

keywords:

subject

Has Abstract

pub_date

2002-04-01 00:00:00

pages

252-8

issue

2

eissn

0513-5796

issn

1976-2437

pii

200204252

journal_volume

43

pub_type

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