Non-selective fetal reduction is malpractice
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Ola Didrik Saugstad
Abstract
Non-selective multifetal pregnancy reduction is carried out to reduce healthy higher order multiple fetuses to one or two fetuses. No studies exist to show any benefit of this practice and a Cochrane review, as well as investigators in the field, have not found any justification for such practice. From a medical point of view, this non evidence-based practice is not following good clinical practice. Any practice that transfers more than one or two embryos, for instance due to commercial interests, should be abandoned by the international medical community because multifetal pregnancies can, to a large extent, be avoided by transferring only one or a maximum of two fertilized eggs by in vitro fertilization. Further, ovarian stimulating programs should strictly adhere to protocols aiming at mono-ovulation.
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©2006 by Walter de Gruyter Berlin New York
Articles in the same Issue
- Non-selective fetal reduction is malpractice
- Guidelines for the management of spontaneous preterm labor
- Accuracy of second trimester fetal head circumference and biparietal diameter for predicting the time of spontaneous birth
- The association between maternal cervicovaginal proinflammatory cytokines concentrations during pregnancy and subsequent early-onset neonatal infection
- Leukocytosis might precede in-hospital eclampsia in preeclamptic women who do not receive magnesium sulfate
- Randomized prospective comparative study of ursodeoxycholic acid and S-adenosyl-L-methionine in the treatment of intrahepatic cholestasis of pregnancy
- Coagulation-fibrinolysis is more enhanced in twin than in singleton pregnancies
- Fetal behavior analyzed by ultrasonic actocardiogram in cases with central nervous system lesions
- Early weight gain does not decrease the incidence of low birth weight and small for gestational age triplets in mothers with normal pre-gestational body mass index
- Umbilical artery pulsatility index: reliability at different sampling sites
- Inferior vena cava diameter pulse waveforms in the human fetus: relationship with flow velocity waveform
- A trial of preventing early- and late-onset Group B streptococcal sepsis with combined intrapartum chemoprophylaxis and universal neonatal screening
- Impact of prenatal urinomas in patients with posterior urethral valves and postnatal renal function
- Congress Calendar
Articles in the same Issue
- Non-selective fetal reduction is malpractice
- Guidelines for the management of spontaneous preterm labor
- Accuracy of second trimester fetal head circumference and biparietal diameter for predicting the time of spontaneous birth
- The association between maternal cervicovaginal proinflammatory cytokines concentrations during pregnancy and subsequent early-onset neonatal infection
- Leukocytosis might precede in-hospital eclampsia in preeclamptic women who do not receive magnesium sulfate
- Randomized prospective comparative study of ursodeoxycholic acid and S-adenosyl-L-methionine in the treatment of intrahepatic cholestasis of pregnancy
- Coagulation-fibrinolysis is more enhanced in twin than in singleton pregnancies
- Fetal behavior analyzed by ultrasonic actocardiogram in cases with central nervous system lesions
- Early weight gain does not decrease the incidence of low birth weight and small for gestational age triplets in mothers with normal pre-gestational body mass index
- Umbilical artery pulsatility index: reliability at different sampling sites
- Inferior vena cava diameter pulse waveforms in the human fetus: relationship with flow velocity waveform
- A trial of preventing early- and late-onset Group B streptococcal sepsis with combined intrapartum chemoprophylaxis and universal neonatal screening
- Impact of prenatal urinomas in patients with posterior urethral valves and postnatal renal function
- Congress Calendar
