Cause and definition
In vitro fertilization (IVF) refers to the process of transferring the fertilized egg into the uterus of a woman to achieve pregnancy. Since the first successful birth of IVF in 1978, this technology has gradually been applied in the medical field. However, due to various reasons, it is sometimes necessary to reduce the number of multiple fetuses, that is, select some of them to terminate. However, IVF reduction will also bring some physical risks and complications.
Risk 1: Infection risk
IVF reduction is a surgical operation, so there is a risk of infection. During the operation, if strict aseptic operation cannot be ensured, bacteria or other pathogens may be introduced, leading to organ infection. Especially in some medical institutions that do not meet the sanitary conditions, the risk of infection is higher. Once infection occurs, it may lead to fever, abdominal pain, nausea, vomiting, septic shock and other serious consequences.
In addition, after IVF reduction, the endometrium has been damaged and is vulnerable to bacterial infection. Infectious endometritis can lead to endometrial destruction, intrauterine adhesions and other problems, which will adversely affect future pregnancy and fertility.
Risk 2: Complications
There are many possible complications in IVF reduction. The common ones include uterine perforation, uterine bleeding, peritonitis, etc. Uterine perforation refers to the accidental injury of the uterine wall during the operation, which may lead to serious consequences such as massive bleeding, visceral injury, etc. In addition, if the treatment is improper in the process of fetal reduction, it may also lead to uterine bleeding and other problems.
In rare cases, fetal reduction surgery may also cause anti embryonic alloimmune response (ARIA) or fetal transfer syndrome (PTS), leading to inflammatory reaction, endocrine disorders and other symptoms. Although these complications are rare, they still need attention.
Risk 3: Psychological impact
The psychological impact of IVF reduction on both husband and wife can not be ignored. IVF reduction requires that both husband and wife go through a series of screening and decision-making processes, which are often accompanied by anxiety, pressure and confusion. Once they decide to reduce their pregnancy, the couple may feel guilty, helpless, sad or depressed, which has a certain impact on their mental health.
Especially for some couples who want to have more children, reducing the number of children may hit their wishes and cause psychological distress. This requires corresponding support and help from medical institutions and psychological experts to promote the psychological recovery of both spouses.
Risk 4: Postoperative monitoring and treatment
After IVF reduction, patients need postoperative monitoring and treatment. First, we need to pay attention to the recovery of the uterus, including the growth of endometrium and the occurrence of uterine cavity adhesion. Secondly, it is also necessary to pay close attention to the patient's physical condition, such as bleeding, infection and other complications. During the monitoring process, if there is any abnormality, corresponding treatment measures should be taken in time.
In addition, postoperative psychological counseling is also very important, which can help patients relieve anxiety, eliminate stress, and improve the quality of postoperative rehabilitation. If the patient has obvious psychological problems, psychological treatment or drug treatment can also be considered.
summary
In vitro fetal reduction is a high-risk operation, which may lead to infection and complications during the operation, and have a certain impact on the physical and mental health of patients. Therefore, doctors and patients should fully understand the risks of the operation and make prudent decisions before the operation. At the same time, during the operation, doctors need to strictly control the risk of infection and timely monitor and treat postoperative complications to protect the health of patients to the greatest extent. In addition, psychological support can not be ignored, which can help patients cope with various challenges during the operation and promote their psychological recovery.
