Document Detail


Ethical obligation for restricting the number of embryos transferred to women: combating the multiple-birth epidemic from in vitro fertilization.
MedLine Citation:
PMID:  20683792     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In vitro fertilization (IVF) is an increasingly effective and popular means of achieving pregnancy for infertile women, but contributes to a growing incidence of risky twin pregnancies. Despite studies demonstrating cost-effective means to achieve IVF pregnancy while strictly limiting the number of embryos transferred, multiple-embryo transfer remains the most common practice in the United States, and twin pregnancies continue to increase. IVF providers resist restricting these practices, arguing that this is counter to principles of procreative liberty, patient and professional autonomy, and free-market economics. We counter that physicians have a professional fiduciary responsibility to weigh issues of nonmaleficence to patients and just use of health care resources with patient desires. With oversight from professional organizations, providers should follow strict but medically appropriate restrictions on embryo transfer practices and work toward safer means of optimizing IVF outcomes than multiple-embryo transfer.
Authors:
Bradley J Van Voorhis; Ginny L Ryan
Publication Detail:
Type:  Journal Article; Review     Date:  2010-08-03
Journal Detail:
Title:  Seminars in reproductive medicine     Volume:  28     ISSN:  1526-4564     ISO Abbreviation:  Semin. Reprod. Med.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-08-04     Completed Date:  2010-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100909394     Medline TA:  Semin Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  287-94     Citation Subset:  IM    
Copyright Information:
Thieme Medical Publishers.
Affiliation:
Department of Ob-Gyn, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
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MeSH Terms
Descriptor/Qualifier:
Embryo Transfer / ethics*,  methods*,  statistics & numerical data
Epidemics / prevention & control
Female
Fertilization in Vitro / ethics*,  legislation & jurisprudence,  methods,  statistics & numerical data
Humans
Moral Obligations
Personal Autonomy
Physician's Practice Patterns / ethics,  legislation & jurisprudence
Pregnancy
Pregnancy, Multiple / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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