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Embryo Reduction

Approximately 20-25% of pregnancies with IVF/ICSI will be multiple. Most of these will be twins, but triplets, quadruplets or even greater multiple pregnancies can occur. A procedure called "selective reduction of pregnancy" is performed in selected cases of triplets or more, to prevent the risk of severe premature birth and handicaps as well as risks for the mother.

This procedure is done under general anaesthesia and USG guidance. A needle is guided into the selected embryo, transvaginally and medication injected to stop the heart beat. This embryo gets absorbed gradually as the others grow. There is a reasonably high risk of aborting all the embryos so great care has to be taken prevent it.


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