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Updated: Jun 8, 2026

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
09:51

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Published on: March 21, 2018

Cost efficiency of reducing multiple births.

John Collins1

  • 1McMaster University Hamilton, Adjunct Clinical Professor, Dalhousie University Halifax, Canada. collins@mcmaster.ca

Reproductive Biomedicine Online
|July 18, 2008
PubMed
Summary
This summary is machine-generated.

Reducing multiple pregnancies through single embryo transfer (SET) prevents costly prematurity. This approach lowers healthcare burdens and supports more treatment cycles, improving outcomes for assisted reproduction.

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Area of Science:

  • Reproductive Medicine
  • Public Health Policy
  • Neonatal Care

Background:

  • Multiple pregnancies are associated with increased rates of prematurity and significant healthcare costs.
  • Twin births are four times, and triplet births ten times, more expensive than singleton births.
  • Prematurity incurs substantial costs for medical interventions and long-term childhood services.

Purpose of the Study:

  • To evaluate the impact of single embryo transfer (SET) on reducing multiple pregnancies.
  • To assess the economic benefits of preventing multiple births through SET.
  • To analyze the effectiveness of health policies promoting SET.

Main Methods:

  • Review of evidence supporting SET for good prognosis patients.
  • Analysis of cost-effectiveness of SET versus multiple embryo transfer.
  • Examination of outcomes from a Belgian health policy incentivizing reduced multiple birth rates.

Main Results:

  • Experimental evidence supports SET in reducing multiple births and associated prematurity.
  • SET strategies can lead to significant cost savings, potentially funding additional treatment cycles.
  • A Belgian health policy demonstrated positive outcomes by increasing reimbursement for cycles with reduced multiple birth rates.

Conclusions:

  • Single embryo transfer is an effective strategy to reduce multiple pregnancies and their associated burdens.
  • Implementing policies that encourage SET can lead to substantial healthcare cost savings.
  • SET improves patient outcomes and supports the sustainability of assisted reproduction services.