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Human Reproduction, Vol. 7, No. suppl_1, pp. 67-72, 1992
© 1992 European Society of Human Reproduction and Embryology

Is there an indication for embryo reduction?

J. Salat-Baroux*, J. Aknin*, J.M. Antoine*, S. Alvarez*, D. Cornet*, M. Plachot° and J. Mandelbaum°

* Department of Obstetrics and Gynaecology Höpital TENON 4 Rue de la Chine, 75020 Paris, Université Paris VI France ° Höpital Necker Unité INSERM 173

The selective reduction of embryos in multiple pregnancies poses numerous medical, technical, ethical and psycho-social problems. In a retrospective study, we analysed nine hundred and twenty-two pregnancies obtained using medically assisted procreation between May 1982 and May 1990. Among 922 successful pregnancies, 372 were singleton, 102 were twin and 13 were triplet. Data from this analysis and from a French multicentre study of 262 embryo reduction procedures demonstrated the value of an embryo quality score for minimizing the risk of multiple pregnancy and the existence of extremely infrequent, ethically acceptable indications for embryo reduction. These indications included ultrasound-proven malformations of one fetus, multiple pregnancies in patients with extensive uterine scarring, and multiple pregnancy despite the appropriate use of preventative measures which can be expected to make this technique unnecessary in the future.

Key words: in vitro fertilization/ovulation induction/embryo reduction/multiple pregnancies


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