2016
DOI: 10.1016/j.fertnstert.2016.06.017
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Elective single embryo transfer in women less than age 38 years reduces multiple birth rates, but not live birth rates, in United States fertility clinics

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Cited by 38 publications
(26 citation statements)
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“…Members want to reduce the increased maternal and perinatal morbidity/mortality as well as decrease the dramatically increased health care costs associated with multiple pregnancies (12)(13)(14)(15). Clearly, members of SART appreciate the direct correlation of increased number of embryos transferred with higher multiple pregnancy rates and that eSET reduces multiples without compromising pregnancy rates (12). Furthermore, the affordability of IVF predicts the level of access as well as the number of embryos transferred, with eSET having its highest utilization in patients with insurance coverage (15).…”
Section: Discussionmentioning
confidence: 99%
“…Members want to reduce the increased maternal and perinatal morbidity/mortality as well as decrease the dramatically increased health care costs associated with multiple pregnancies (12)(13)(14)(15). Clearly, members of SART appreciate the direct correlation of increased number of embryos transferred with higher multiple pregnancy rates and that eSET reduces multiples without compromising pregnancy rates (12). Furthermore, the affordability of IVF predicts the level of access as well as the number of embryos transferred, with eSET having its highest utilization in patients with insurance coverage (15).…”
Section: Discussionmentioning
confidence: 99%
“…In this manner, it is likely a false correlation which judge the accomplishment of SET with at least one or more embryos cryopreserved (no less than two embryo cryopreserved in the adherent) against DET with at least one or more embryo cryopreserved (at least 3 embryos in the adherent). In an ongoing investigation of national IVF results information, we firmly managed for the size of the accessible group and found very similar pregnancy rates in more youthful and young patients experiencing elective e-SET versus DET on day 5 -6 [4]. We imagine that this pattern of expanding blastocyst transfer joined with enhancements in developing topnotch embryo selection systems, (for example, pre-implantation genetic screening) will bring about further increments in e-SET pregnancy rates and enable centers to all the more unhesitatingly offer e-SET with next to zero effect on their facility particular pregnancy results [4].…”
Section: Discussionmentioning
confidence: 91%
“…In an ongoing investigation of national IVF results information, we firmly managed for the size of the accessible group and found very similar pregnancy rates in more youthful and young patients experiencing elective e-SET versus DET on day 5 -6 [4]. We imagine that this pattern of expanding blastocyst transfer joined with enhancements in developing topnotch embryo selection systems, (for example, pre-implantation genetic screening) will bring about further increments in e-SET pregnancy rates and enable centers to all the more unhesitatingly offer e-SET with next to zero effect on their facility particular pregnancy results [4]. Regardless of proceeding with specialized advances, in any case, it is likely that little however potentially noteworthy LBR contrasts will hold on amongst e-SET and DET if as a field we proceed to report and underscore pregnancy rates per exchange rather than total pregnancy rates per fresh IVF cycle.…”
Section: Discussionmentioning
confidence: 91%
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“…When accompanied by preimplantation genetic screening, elective SET (eSET) pregnancy rates at all ages have reached 50% or higher (3), whereas double embryo transfer (DET) would carry an unacceptable risk of twins. Equivalent or superior results can be achieved with sequential transfer of the two embryos (4)(5)(6). We provide detailed counselling at the initial visit so that a couple has the opportunity to seek another provider if they disagree with our center's policy.…”
mentioning
confidence: 99%