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Advanced Technical IVT

multifetal pregnancy reduction

Also written as: MFPR — Multifetal Pregnancy Reduction

Selective termination procedure to reduce the number of fetuses in a high-order multiple pregnancy to improve outcomes for remaining fetuses.

Full Definition

Multifetal pregnancy reduction (MFPR) is a procedure performed in high-order multiple pregnancies (typically triplets or higher) to selectively reduce the number of fetuses, usually to twins. The procedure involves injection of potassium chloride into selected fetal hearts under ultrasound guidance, typically performed between 10-13 weeks gestation. MFPR is offered to reduce maternal and fetal complications associated with high-order multiples, including preterm delivery, growth restriction, and maternal morbidity.

Usage

Usage note: Use 'multifetal' as one word; distinguish from selective termination for fetal anomalies.

In Context

  • "The couple opted for multifetal pregnancy reduction from quadruplets to twins." — Counseling documentation
  • "MFPR was successfully performed at 11 weeks with subsequent normal twin development." — Procedure follow-up note

Also known as

MFPR selective reduction fetal reduction

Don't confuse with

selective termination twin reduction

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