title: In search of real autonomy for fertility patients.
abstract: Nearly one in eight infants in the United States is born preterm. A variety of factors are associated with preterm birth, including multiplicity. In the United States fertility treatments are currently associated with high rates of multiplicity, but these rates could be reduced significantly if changes can be made to fertility treatment policy and practice. These include reducing the financial pressure on patients to prioritize pregnancy chances over safety by expanding insurance coverage and altering the way we calculate success rates and insurance benefits so that two consecutive single embryo transfers is equivalent to one double embryo transfer.
authors.affiliation: 1Director of Research & Research Scholar,The Hastings Center,Garrison,NY,USA.
authors.forename: Josephine
authors.initials: J
authors.lastname: Johnston
authors.affiliation: 2Research Scholar,The Hastings Center.
authors.forename: Michael K
authors.initials: MK
authors.lastname: Gusmano
authors.affiliation: 3Professor of Obstetrics,Gynecology and Reproductive Sciences, Director,Yale Fertility Center,Yale School of Medicine,CT,USA.
authors.forename: Pasquale
authors.initials: P
authors.lastname: Patrizio
mesh_terms: D005260:Female; D006801:Humans; D019458:Insurance Coverage / Q000331:legislation & jurisprudence; D007348:Insurance, Health / Q000331:legislation & jurisprudence; D009099:Multiple Birth Offspring; D010062:Ovulation Induction / Q000191:economics / Q000379:methods; D026684:Personal Autonomy; D011247:Pregnancy; D047928:Premature Birth / Q000191:economics / Q000453:epidemiology; D027724:Reproductive Techniques, Assisted / Q000191:economics* / Q000331:legislation & jurisprudence*; D056826:Single Embryo Transfer / Q000191:economics; D014481:United States