I did a trans abdominal embryo reduction. I used the 23 guage spinal needle, and used free hand technique. The reason of doing this reduction is due to the main complication of IVF,that is multiple pregnancy. This patient had failed cycle in first attempt. We did three blastocyst transfer this time ( in earlier cycle two blastocyst were transferred).
All the three blastocysts implanted. All have heart activity, but one is growing slow at 10.5 weeks. I chose that embryo to reduce.
Previously I was doing embryo reduction ,through vaginal route, but ,after doing eight successful caseses, Patient aborted….so I stopped doing transvaiginal.
Hope things will go well