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Multifetal pregnancy reduction is a procedure used to reduce the number of fetuses in a multiple pregnancy, usually to two. When a pregnancy involves three or more fetuses, the risks of miscarriage, stillbirth, and lifelong disability increase with each additional fetus. 

The goal of the procedure is to increase the chance of a successful, healthy pregnancy. Multifetal pregnancy reduction: 

  • Is usually done early in a pregnancy, between the 9th and 12th weeks.
  • Can be used to reduce triplets to twins.
  • Is known as “selective termination” when it involves a fetus with severe defects or one that is expected to die later in the pregnancy, which would threaten the life of the surviving fetus or fetuses.

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