Share your clinic's experience

Since January 2009 all UK fertility clinics that carry out IVF, ICSI or GIFT needed to have a strategy in place setting out how they will reduce their multiple births rate to 24% or under. 

Read more about the HFEA policy >>
Some clinics may already have had a policy for single embryo transfer in place. For other clinics this will have been a much bigger challenge.
Read our clinic stories and find:

  • Ideas for how to develop multiple births strategies
  • What patient and embryo selection criteria have worked for other clinics
  • Ways to review and improve your strategy
  • Tips on how to encourage patient uptake of single embryo transfer

Clinic A's story

Clinic A analysed their own data and used the ACE/BFS guidelines to identify which patients should be offered elective single embryo transfer (eSET). Patients who met the criteria were strongly and consistently encouraged by staff to consider eSET at all points along the patient pathway.  Clinic A also decided to change their embryo transfer policy to blastocyst transfer. 

Read about what they did >>

Clinic B's story 

"Over the last 18 months our policy has had to be adapted to ensure the correct patients are selected for eSET. Pregnancy rates have not been compromised. The focus for this year will be to reduce double blastocyst transfers and to capitalise on the success achieved with frozen blastocyst stage transfers to improve cumulative pregnancy rates..."

Read about what they did >> 

Clinic C's story

"The clinic was very much aware that the multiple birth rate (MBR) was high and knew that the impact of increased blastocyst transfer cycles would increase the MBR further.  A MBR minimisation strategy was developed internally which aimed to utilise the higher implantation rates likely with blastocyst transfers but reduce the incidence of multiple pregnancy."

Read about what they did>>


Clinic D's story

"Sustained reduction in multiple pregnancies can be achieved using embryo morphology and rate of growth, in combination with other cycle parameters such as female partner’s age, number of treatment attempts, character of the spare embryos etc. Careful audit of one’s practice helps develop strategies that maintain the pregnancy rate with a progressive and step-wise reduction in MPR despite wider use of eSET."

Read about what they did>>

Clinic E's story

"With the introduction of the Policy change the Unit held several meetings with all staff to discuss the development of a multiple births minimisation strategy."

Read about what they did>>


Clinic F's story

"The clinic was faced with some difficult treatment restrictions that were put into place by the NHS commissioners; the most challenging restriction was mandatory single embryo transfer for all cycles both fresh and frozen irrespective of age, clinical indications or previous successful or failed cycles."

Read about what they did>>


 Clinic G's story

"Together with a review of all clinical practices it is hoped that our success will continue to improve and we can then be confident when advising patients that ‘one at a time’ really is best."

Read about what they did>>

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Advising patients about SET

The Infertility Newtowk UK have published a factsheet explaining why and how fertility clinics should be advising their patients to have a single embryo transfer (SET).

Download the factsheet (305 KB)

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Tell your clinic's story

Every clinic is different. There is no one multiple birth minimisation strategy that will work across all clinics.

Help other clinics by sharing the experience at your clinic.