| Ethical obligation for restricting the number of embryos transferred to women: combating the multiple-birth epidemic from in vitro fertilization. | |
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MedLine Citation:
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PMID: 20683792 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Bradley J Van Voorhis; Ginny L Ryan |
Publication Detail:
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Type: Journal Article; Review Date: 2010-08-03 |
Journal Detail:
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Title: Seminars in reproductive medicine Volume: 28 ISSN: 1526-4564 ISO Abbreviation: Semin. Reprod. Med. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-08-04 Completed Date: 2010-12-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100909394 Medline TA: Semin Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 287-94 Citation Subset: IM |
Copyright Information:
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Thieme Medical Publishers. |
Affiliation:
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Department of Ob-Gyn, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Embryo Transfer
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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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