Fetal reduction 2008.
OBJECTIVE
Multifetal pregnancies have skyrocketed over the past two decades as a consequence of infertility treatments. Multifetal pregnancy reduction has lowered the complications considerably. Here, we review the historical and current literature to determine reasonable statistics upon which to counsel patients


RESULTS
Several papers in the past year have updated the database of outcomes, shown that prenatal diagnosis by fluorescent in-situ hybridization prior to reduction improves outcomes and examined the psychological and emotion frame through which patients view the circumstances and options available to them.


CONCLUSIONS
Multifetal pregnancy reduction in experienced hands continues to dramatically improve the outcome of multiple pregnancies. The development of coping strategies for patients to deal with complex options and risks challenging their religious and other core beliefs now allows us to better counsel patients.
Evans
Mark I
MI
Fetal Medicine Foundation of America, New York, New York, USA. Evans@CompreGen.com
Britt
David W
DW
D003657:Decision Making; D005260:Female; D006801:Humans; D010358:Patient Participation / Q000639:trends; D011247:Pregnancy; D018607:Pregnancy Reduction, Multifetal / Q000009:adverse effects / Q000639:trends*; D011272:Pregnancy, Multiple; D011296:Prenatal Diagnosis; D027724:Reproductive Techniques, Assisted