Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester digital illustration

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


ICD-10 code: O31.33

Chapter: Pregnancy, childbirth and the puerperium

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

Elective fetal reduction is a procedure that involves reducing the number of fetuses in a multiple pregnancy. This can be done through selective reduction of one or more fetuses. Elective fetal reduction is often done in the first or second trimester of pregnancy. However, in some cases, it may be done in the third trimester.

Continuing pregnancy after elective fetal reduction in the third trimester can be challenging. There are several factors to consider, including the health of the mother and the remaining fetuses. The following are some things to keep in mind:

  1. Risks of continuing the pregnancy: Continuing the pregnancy after elective fetal reduction in the third trimester can be risky. The mother may be at risk of developing complications such as preterm labor, premature rupture of membranes, and placental abruption. The remaining fetuses may also be at risk of developing complications such as growth restriction and preterm birth.
  2. Monitoring of the pregnancy: If a woman chooses to continue the pregnancy after elective fetal reduction in the third trimester, she will need to be closely monitored by her healthcare provider. This may involve frequent ultrasounds, fetal monitoring, and blood tests.
  3. Delivery: If a woman continues the pregnancy after elective fetal reduction in the third trimester, she will likely need to deliver the remaining fetuses via cesarean section. This is because the remaining fetuses may be in a breech position, and vaginal delivery may be too risky.
  4. Emotional impact: Elective fetal reduction can be a difficult decision for parents to make. Continuing the pregnancy after fetal reduction in the third trimester can also be emotionally challenging. It is important for parents to have a support system in place and to seek counseling if needed.

Overall, continuing a pregnancy after elective fetal reduction in the third trimester is a complex decision that should be made in consultation with a healthcare provider. The risks and benefits should be carefully weighed, and the emotional impact should be considered. With proper monitoring and support, it is possible to have a successful pregnancy after elective fetal reduction in the third trimester.