How to manage the risks of fertility treatment, what the latest guidance is and what is the best practice for single embryo transfer.
Compared with singletons, twins are 4 times more likely to die in pregnancy, 7 times more likely to die shortly after birth and several studies have shown that twins are between 4 and 6 times more likely to suffer from cerebral palsy.
To minimise the risks of multiple pregnancy and birth, a conservative approach towards administering fertility drugs is recommended, coupled with a policy of eSET, carefully targeted at appropriate patients.
A successful SET policy involves offering the treatment to the right patient sub-group, using carefully selected, good quality embryos, and if necessary with follow-up treatment using frozen embryos.