Before selective termination or reduction, a discussion should include the morbidity and mortality rates expected if the pregnancy is continued; the morbidity and mortality rates expected with surviving twins or triplets; and the risks of the procedure itself (American College of Obstetricians and Gynecologists, 2017b). Speciic risks of selective termination or reduction are: abortion of the remaining fetuses; (2) abortion or retention of the wrong fetus(es); (3) damage without death to a fetus; preterm labor; (5) discordant or growth-restricted fetuses; and (6) maternal complications. he last includes potential infection, hemorrhage, or disseminated intravascular coagulopathy because of retained products of conception. The final decision to continue the pregnancy without intervention, to terminate the entire pregnancy, or to elect selective termination is solely the patient' s (Chervenak, 2013).
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