title: Assisted reproductive technology (ART) in the upstate: reducing the risks of multiple births.
abstract: Multiple pregnancies from ART procedures are all too common. Efforts to reduce high-order multiple pregnancies will require both social and medical reforms. In lieu of a legislative agenda to reduce multiple pregnancies in the United States, efforts must come from the personnel within the individual ART clinics. The approach to the problem includes accepting a lower pregnancy rate than otherwise might be obtainable, if the observed rate of high-order multiple pregnancies is above a certain threshold. Expanding the opportunities for ART reimbursement will ultimately address this problem in the United States, but until then, it is a problem that will not go away without commitment and resolve.
authors.affiliation: Reproductive Endocrinology and Infertility, Greenville Hospital System University Medical Center, 890 W. Faris Road, Suite 470, Greenville, SC 29605-5601, USA.
authors.forename: Paul B
authors.initials: PB
authors.lastname: Miller
authors.forename: David A
authors.initials: DA
authors.lastname: Forstein
authors.forename: Rebecca S
authors.initials: RS
authors.lastname: Usadi
authors.forename: Bruce A
authors.initials: BA
authors.lastname: Lessey
authors.forename: H Lee
authors.initials: HL
authors.lastname: Higdon
authors.forename: William R
authors.initials: WR
authors.lastname: Boone
mesh_terms: D000328:Adult; D015331:Cohort Studies; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D011247:Pregnancy; D011272:Pregnancy, Multiple; D012189:Retrospective Studies