Dr. Cook explains why multiple gestation is increasing while higher order multiples, like triplets and quadruplets, have decreased in number.
Definitely multiple gestations are increasing in this country most dramatically over the past 20 years or so, mostly with the advent of assisted reproductive technology, IVF and other type of procedures. What we have been getting a plateauing on is our higher order multiples. So we are not getting as many of the triplets and quadruplets as we did ten years ago, mostly because of changes in practices of number of embryos transferred and things of that nature.
So overall still a high and increasing instances of multiple gestation, but a plateauing of the higher order multiple gestations, which is what we would desire.
About Dr. Curtis Cook, M.D.:
Dr. Curtis R. Cook, M.D., is a maternal-fatal medicine specialist and the Associate Director for Phoenix Perinatal Associates providing care for women with complicated, high-risk pregnancies. Dr. Cook received his medical degree from Indiana University School of Medicine and completed his residency at Butterworth Hospital in Michigan.