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  • Title: IVF patients' attitudes toward multifetal pregnancy reduction.
    Author: Munks EB, Edelman AB, Jensen JT, Nichols MD, Burry K, Patton P.
    Journal: J Reprod Med; 2007 Jul; 52(7):635-8. PubMed ID: 17847763.
    Abstract:
    OBJECTIVE: To determine attitudes of in vitro fertilization (IVF) patients toward multifetal pregnancy reduction before and after embryo transfer. STUDY DESIGN: Women seeking IVF consultation were surveyed before and after embryo transfer regarding their attitudes toward multifetal pregnancy reduction. RESULTS: Thirty-one of 36 subjects completed the initial survey. The mean age was 32.9 years, 93% of subjects were Caucasian, and 61.3% were nulliparous. Most subjects described themselves as "pro-choice" (20 of 31, 64.5%). Overall, 22.6% (7 of 31) stated that they would never consider fetal reduction in a multifetal pregnancy and 77.4% (24 of 31) stated that they would consider multifetal pregnancy reduction. The threshold to consider fetal reduction was triplets. Prochoice subjects were significantly more likely to consider multifetal pregnancy reduction when compared to "prolife" subjects (p <0.01). Twelve of the 31 subjects underwent embryo transfer and completed the second survey. Patient attitude did not change significantly from the time of initial IVF consultation to after embryo transfer. CONCLUSION: Overall, women undergoing IVF would consider multifetal pregnancy reduction, and this view did not change after embryo transfer. Pro-choice subjects were more likely to consider multifetal pregnancy reduction.
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