[Clinical use of selective reduction in multifetal pregnancies]

Selective reduction under ultrasound guidance was carried out in 12 multifetal pregnancies with over 3 fetuses during 8 to 14 gestational weeks. It was performed transabdominally in 9 women but in other 3, tansvaginal approach was used. Ten women have already delivered 19 viable infants, but the remaining 2 aborted after amniotic rupture during the second trimester. Selective reduction is a safe, feasible method for management of multifetal pregnancies with over 3 fetuses.