Selective Reduction

Selective Reduction is the term used for “terminating” one or more developing embryos when there is a multiple gestation pregnancy.

This may be a difficult concept, decision and process for many women/couples. It can feel incongruous to be in a situation that after trying so hard to achieve a pregnancy, you are now faced with the task of having to reduce the gestation to a singleton or twins.

It is crucial to consult with your physician about all the ramifications of a fetal reduction. There are several reasons to consider selective reduction. One important reason is the health of the pregnant woman. Carrying multiples may be dangerous to the woman’s health and may compromise a positive, full-term, healthy outcome. If your physician recommends this for your health, it is crucial to understand this and take his/her recommendation very seriously.

Another important reason that a physician may recommend selective reduction is for the health of the developing fetuses. To understand this better it would be advised to read about how a baby develops, what the baby’s needs are and how multiples may vie in utereo for nutrients, room to grow and other things – severely compromising a positive outcome.

Another reason a woman or couple may consider selective reduction is for personal reasons. There may be financial restrictions, family restrictions (number of children already in family), or other personal reasons that may lead you to the decision to reduce the pregnancy to a singleton or twin gestation.

Remember this is your decision. It is important to give serious consideration to all the above factors and to seek support to fully understand what you will be going through physically.

On an emotional level, selective reduction is most definitely a loss. For whatever reason it is done, women have strong feelings about making this decision; and for what they feel they are “doing” to the embryos that are removed. It is okay to acknowledge this loss. There are prayers, rituals or other support that can be provided.

For support or more information about how to manage this experience you may contact us through this website.