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September 2005 · Vol. 17, No. 9

LETTERS

Make the mother and doctor culpable for IVF multiples

Fast Track

“If rate of live births per implanted embryo were the standard, clinics would avoid transferring too many embryos”

I applaud Dr. Barbieri’s efforts to address the troublesome issue of iatrogenic multiple gestations. Like him, I would hate to see government regulation of assisted reproduction, but it seems clear something should be done to limit the number of preventable multiple gestations. I have 2 suggestions, either of which would result in a dramatic decrease in multiple gestations:

Self-regulation is the surest way to prevent government interference. Too often patients and doctors are insulated from the economic consequences of their decisions. Either one of these measures would remove that insulation and make doctors and patients financially responsible for their actions regarding embryo transfer.

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