Drexel University, Philadelphia, PA, USA.
MCN Am J Matern Child Nurs. 2010 May-Jun;35(3):166-71. doi: 10.1097/NMC.0b013e3181d765bc.
This article concerns the issue of multifetal reduction performed in some cases of higher order multiple gestation in order to decrease the possibility of adverse pregnancy outcomes and increase the chances of survival in the remaining fetuses. If multifetal pregnancy reduction is considered as a treatment option, it is usually performed in the first or early second trimester. The decision to reduce one or more fetuses is extremely complicated, and numerous factors must be considered, since the procedure has risks, such as loss of the entire pregnancy or preterm labor and birth of the remaining fetuses. In addition, there are also psychological risks for the mother. Typically women faced with this decision have struggled for years with infertility and now they are asked to consider terminating one or more of the fetuses to prevent morbidity and/or mortality in others. Nurses who work with infertile women may be able to assist in minimizing the need for multifetal pregnancy reduction by educating women about the risks associated with assisted reproductive technologies and higher order multifetal pregnancy before decisions are made about multiple embryo transfers or intrauterine insemination after ovulation induction.
本文探讨了多胎妊娠中进行多胎妊娠减胎术的问题，以降低不良妊娠结局的可能性，并增加存活胎儿的机会。如果多胎妊娠减胎术被视为一种治疗选择，通常在第一或第二孕期早期进行。决定减少一个或多个胎儿是极其复杂的，必须考虑众多因素，因为该手术存在风险，如整个妊娠丢失或早产和剩余胎儿的出生。此外，母亲也存在心理风险。通常，面临这一决定的女性多年来一直在与不孕作斗争，现在她们被要求考虑终止一个或多个胎儿，以防止其他胎儿的发病率和/或死亡率。与不孕女性一起工作的护士可以通过在决定进行多个胚胎移植或排卵诱导后的宫腔内人工授精之前，向女性教育与辅助生殖技术和多胎妊娠相关的风险，帮助减少多胎妊娠减胎术的需求。
