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Against
from Section III - The Best Policy
Published online by Cambridge University Press: 25 November 2021
Implementation of single embryo transfers in IVF has helped to reduce number of multiple pregnancies and the risks inherent with these conceptions. However, employing a blanket policy for all patients to have a single embryo transfer is inappropriate. In those with good prognosis single embryo transfers should be common practice, however those with a poorer prognosis may benefit from a double embryo transfer, such as those with advanced maternal age and recurrent implantation failure. Denying patients this option can be detrimental to their success rates, going against their patient autonomy and could be deemed unethical. There is conflicting evidence regarding cost-effectiveness between double embryo transfer and single embryo transfer and further studies are required to evaluate the true cost-effectiveness. A shared decision-making approach needs to be employed between Clinicians and patients, with both sides taking responsibility. With the question for debate being, should we consider multiple pregnancies an adverse outcome?
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