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Triplets and embryo transfer policy

A Murdoch1

  • 1Centre for Reproductive Medicine, RVI Trust, Newcastle upon Tyne, UK.

Human Reproduction (Oxford, England)
|January 20, 1998
PubMed
Summary

Embryo transfer policies vary widely, impacting multiple pregnancy rates. Patients often desire multiple births despite risks, necessitating clearer counseling and potentially limiting embryo transfers to two for better outcomes.

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Area of Science:

  • Reproductive Medicine
  • In Vitro Fertilization (IVF)

Background:

  • Multiple pregnancies resulting from embryo transfer present significant social and financial challenges.
  • Existing 'good practice' recommendations for embryo transfer require re-evaluation due to these consequences.

Purpose of the Study:

  • To survey current embryo transfer policies and decision-making factors across fertility centers.
  • To understand the influence of healthcare providers and patients on embryo transfer numbers.

Main Methods:

  • A national postal survey was conducted among fertility centers.
  • Data collected focused on embryo transfer policies, decision criteria, and influencing factors.

Main Results:

  • Significant variation in embryo transfer practices was observed nationwide.
  • Most centers utilize similar criteria for deciding between two or three embryo transfers.
  • Physicians are key decision-makers, with patient preference being paramount when three embryos are considered.
  • Despite awareness of risks, 69% of patients viewed multiple pregnancy as an ideal IVF outcome.

Conclusions:

  • Enhanced patient counseling regarding the consequences of multiple pregnancies is strongly recommended.
  • Centers with high multiple pregnancy rates should consider a policy of transferring a maximum of two embryos.

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