Selective Reduction - Practice

Practice

The reduction procedure is generally carried out during the first trimester of pregnancy. The most common method is to inject potassium chloride into the fetus's heart; the heart stops and the fetus dies as a result. Generally, the fetal material is reabsorbed into the woman's body. While the procedure generally reduces the over-all risk level for the remaining fetus or fetuses, reduction does have its own risks, including the possibility that one or more of the remaining fetuses will also die.

Dr. Mark Evans, a New York City-based obstetrician-geneticist, and a group of doctors, developed the procedure for selective reduction in the 1980s.

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