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No More High Order Multiple Birth Disasters -or- Being The Change We Seek

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The Single Embryo Incentive Program is the first financial package from a fertility center in this country that defrays the economic risk of using one embryo at a time.

I have to admit that I am incredibly proud to work with a guy who has come up with a program that takes on this issue in such a personal way. The high order multiple birth problem has been the fertility field's dirty laundry, so many people pay lip service to this issue without really doing much about it. Oh - there are guidelines - and high order multiple births are down. But there are still far too many high order multiple births in this country.

We as a field have gotten better about talking about the collateral damage of multiples but few have come up with a solution. Most American couples are uninsured for fertility treatment. They can barely scrape together payment for a single round of IVF and so they feel compelled to put in as many embryos as they can, hoping one will take. Unfortunately, their best intentions boomerang and the result is a medical tragedy that, often, is worse than the underlying infertility. In many European countries where fertility treatment is covered, single embryo transfer is the law.

Dr. Kreiner, a pioneer in the field who trained under legendary IVF innovators Drs.

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I totally believe in Single Embryo Transfer for IVF. In order to improve and maximize the chances for implantation we must be sure that we place the single embryo at the "Maximal Implantation Potential (MIP) Point". This requires an upgrade of the ultrasound guidance to "3D/4D Ultrasound Guided Embryo Transfer". Using this new technique could increase pregnancy rates by more than 10%. This way we can reasure our patients and ourselves that we did the best we could.

July 7, 2009 - 5:25pm

Dear Pamela,

Fascinating article. Thank you for your insight.

I wonder if this article, "Judging Octomom" has anything to do with the Amsterdam conference.


It's the first non hoopla article I've read that explores intelligently and dispassionately the issues raised by the birth eight babies to on welfare mother, Nadya Suleman, who already had six IVF children.

You are in such a complex and emotionally volatile field, Pamela. I very much respect your efforts to bring information and clarity to us.

warm regards,


July 7, 2009 - 3:22pm
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