By Wendy Wisner, Nov 22, 2022

Kecia Gaither, MD, MPH, a double board-certified in OB/GYN and maternal fetal medicine, agrees with this sentiment, and emphasizes the economic strain that can result from birthing higher order multiples. “There are the economic/health costs relegated to the care of multiples—childcare, education, medical expenses, loss of work availability for the parents,” she says. “Stress and compromised quality of life is increased.” Another aspect to keep in mind, says Dr. Gaither, is that sometimes in a multiple order pregnancy, there will be non-viable fetuses, along with healthy fetuses. Often, the non-viable fetus needs to be removed in order to keep the normal fetus healthy. Dr. Gaither also adds that sometimes the pregnant person’s life may be in danger if a higher-order multifetal pregnancy continues. Maternal death is a real danger in pregnancies of three or more fetuses.

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