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"The two-minus-one pregnancy"

That is the headline of a New York Times magazine article telling the stories of pregnant women who choose to reduce twins to a single fetus.

For all its successes, reproductive medicine has produced a paradox: in creating life where none seemed possible, doctors often generate more fetuses than they intend. In the mid-1980s, they devised an escape hatch to deal with these megapregnancies, terminating all but two or three fetuses to lower the risks to women and the babies they took home. But what began as an intervention for extreme medical circumstances has quietly become an option for women carrying twins. With that, pregnancy reduction shifted from a medical decision to an ethical dilemma. As science allows us to intervene more than ever at the beginning and the end of life, it outruns our ability to reach a new moral equilibrium. We still have to work out just how far we’re willing to go to construct the lives we want.

It was eye-opening because I didn't know this could be done but also unsettling because of the ethical and moral concerns and questions this raises not only for women in this situation but for society as a whole.

What is it about terminating half a twin pregnancy that seems more controversial than reducing triplets to twins or aborting a single fetus? After all, the math’s the same either way: one fewer fetus. Perhaps it’s because twin reduction (unlike abortion) involves selecting one fetus over another, when either one is equally wanted. Perhaps it’s our culture’s idealized notion of twins as lifelong soul mates, two halves of one whole. Or perhaps it’s because the desire for more choices conflicts with our discomfort about meddling with ever more aspects of reproduction.

The author talks to doctors who are for and against twin reduction and women who have chosen to take this route.

No doubt that this story will produce a lot of chatter on the blogosphere and elsewhere.

It's a long story but worth the read. Please feel free to comment.

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