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A second minority report called for a state law limiting the number of embryos that can be transferred to a woman's womb to two, thus eliminating the need for fetal reduction.
The opinion advises physicians to tell patients about the risks and the socioeconomic burdens of multiple births and to counsel them in advance about the option of fetal reduction to decrease perinatal risks in the case of a high-order pregnancy.
That compared with a mean birth weight of 3,206 g in 514 women who gave birth to singletons and had not experienced fetal reduction, either spontaneous or selective, and a mean birth weight of 3,166 g in 15 patients who delivered singleton infants after selective fetal reductions.
Fetal reduction from a triplet to a twin pregnancy was performed 33 days after embryo transfer.
As for multiple pregnancies, it is said by some who argue for fetal reduction that these cannot come to term all at once, either due to the spontaneous death of the embryos in the uterus, or due to premature birth of the fetuses without hope of life.
A total of 89 women in the ART group underwent twin-to-singleton fetal reduction.