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Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester Save


ICD-10 code: O31.31

Chapter: Pregnancy, childbirth and the puerperium

Continuing Pregnancy After Elective Fetal Reduction of One Fetus or More, First Trimester

Elective fetal reduction is a procedure that is sometimes recommended for women who are pregnant with multiples. It involves reducing the number of fetuses in the womb to increase the chances of a healthy outcome for the remaining fetuses. In some cases, however, women may choose to continue the pregnancy after fetal reduction, even if it means carrying multiple fetuses.

Here are some things to consider if you are thinking about continuing your pregnancy after elective fetal reduction:

  1. Increased risk of complications: Continuing a pregnancy after fetal reduction can increase the risk of complications, such as preterm labor, low birth weight, and developmental delays. It is important to discuss these risks with your healthcare provider and make a plan for monitoring your pregnancy closely.
  2. Emotional impact: Choosing to continue a pregnancy after fetal reduction can be emotionally challenging. You may experience feelings of guilt, grief, and anxiety. It is important to seek support from friends, family, or a healthcare provider who specializes in perinatal mental health.
  3. Financial considerations: Carrying multiple fetuses can be expensive, as it may require more frequent prenatal appointments, specialized testing, and a longer hospital stay after delivery. It is important to discuss these costs with your healthcare provider and insurance company to ensure that you have the resources you need.
  4. Birth plan: Women who choose to continue a pregnancy after fetal reduction should have a detailed birth plan in place. This may include discussing the possibility of a cesarean section, choosing a hospital with a neonatal intensive care unit (NICU), and preparing for the possibility of a premature birth.

In conclusion, continuing a pregnancy after elective fetal reduction is a complex decision that requires careful consideration and planning. It is important to discuss your options with your healthcare provider and seek support from loved ones and mental health professionals. Together, you can make a plan that is best for you and your growing family.