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Related Experiment Videos

Selective reduction: an unfortunate misnomer.

R L Berkowitz1, L Lynch

  • 1Department of Obstetrics, Gynecology, and Reproductive Science, Sinai School of Medicine, New York, New York.

Obstetrics and Gynecology
|May 1, 1990
PubMed
Summary
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Selective reduction is a misnomer for first-trimester multifetal pregnancy reduction. Fetal sex and karyotype are unknown, making sac location the only factor, not targeted selection.

Area of Science:

  • Maternal-Fetal Medicine
  • Reproductive Science
  • Obstetrics

Background:

  • First-trimester multifetal pregnancy reduction is common.
  • Fetal sex and karyotype are typically unknown at the time of the procedure.
  • Decisions are based on sac location due to lack of individual fetal information.

Purpose of the Study:

  • To evaluate the accuracy of the term "selective reduction" in the context of first-trimester multifetal pregnancy reduction.
  • To propose a more appropriate terminology for the procedure.

Main Methods:

  • Review of current practices in first-trimester multifetal pregnancy reduction.
  • Analysis of the basis for fetal selection in these procedures.
  • Linguistic and psychological impact assessment of the term "selective reduction".
Keywords:
Genetics and Reproduction

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Main Results:

  • Fetal sex and karyotype are rarely known when reduction occurs in the first trimester.
  • Physical location of the gestational sac is the primary determinant for fetal selection.
  • The term "selective reduction" inaccurately implies targeted selection based on specific fetal characteristics.

Conclusions:

  • The term "selective reduction" is inaccurate and potentially psychologically harmful.
  • The procedure should be referred to as "multifetal pregnancy reduction" to reflect the actual decision-making process.