Fetal Reduction in Multifetal Pregnancy: Ethical Dilemmas.
10.3349/ymj.2002.43.2.252
- Author:
Ivica TADIN
1
;
Damir ROJE
;
Ivo BANOVIC
;
Deni KARELOVIC
;
Marko MIMICA
Author Information
1. Department of Obstetrics and Gynecology, Clinical Hospital Split, Spinciceva 1, 21000 Split, Croatia. Deni.Karelovic@kbsplit.hr
- Publication Type:Review
- Keywords:
Fetal reduction;
multifetal pregnancy;
assisted reproduction
- MeSH:
*Ethics, Medical;
Female;
Human;
Pregnancy;
*Pregnancy Reduction, Multifetal/adverse effects/methods;
*Pregnancy, Multiple
- From:Yonsei Medical Journal
2002;43(2):252-258
- CountryRepublic of Korea
- Language:English
-
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 yatrogenic 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.
