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Human Reproduction Update Advance Access originally published online on December 23, 2004
Human Reproduction Update 2005 11(1):1-2; doi:10.1093/humupd/dmh056
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Human Reproduction Update vol. 11 no. 1 © European Society of Human Reproduction and Embryology 2004; all rights reserved

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Multiple pregnancies: a plea for informed caution

Pedro N. Barri

Service of Reproductive Medicine, Càtedra d'Investigació en Obstetrícia i Ginecologia of the Department of Obstetrics and Gynaecology, Institut Universitari Dexeus, Paseo Bonanova 67, 08017 Barcelona, Spain

Email: pbarri@dexeus.com

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At present, assisted reproduction techniques form part of the health care routine in our hospitals. With >1x106 IVF babies already born in the world, the efficacy of these techniques is beyond question. However, we must now fight for the safety of these procedures, since safety and efficacy are closely connected aspects.

Figures from the Spanish National Institute of Statistics for the period 1982–2002 show that the rate of twin births has doubled, while there has been a 7-fold increase in triplets. From the obstetric point of view we know that multiple pregnancies are associated with a considerable increase in the risks for these patients. As for fetal risks, it is accepted that . . . [Full Text of this Article]


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