Multiple pregnancies: the price to pay.
Since 1980, the rate of multiple pregnancies due to assisted reproductive technology has been multiplied by 10, especially for twin pregnancies and for cases involving simple stimulation of ovulation. The prices paid are: an increase in prematurity (82% of deliveries); perinatal mortality (an increase of 74%); and transfer to intensive care units (95% of infants born of multiple pregnancies). This does not take into account the rise in cost per child, which increased by 1.9 for twins and 3.7 for triplets. The solution does not lie in selective embryo reduction but in the reduction of the number of embryos transferred.
Salat-Baroux
J
J
Department of Gynaecology, Obstetrics and Biology of Reproduction, University Paris VI, Hôpital Tenon, France.
Antoine
J M
JM
D004624:Embryo Transfer / Q000379:methods; D005260:Female; D017048:Health Care Costs; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000191:economics*; D011272:Pregnancy, Multiple