Continuous quality improvement and assisted reproductive technology multiple gestations: some progress, some answers, more questions

William Gibbons; David Grainger; Marcelle Cedars; Tarun Jain; Nancy Klein; Judy Stern; SART Research Committee Writing Group

doi:10.1016/j.fertnstert.2007.04.050

Continuous quality improvement and assisted reproductive technology multiple gestations: some progress, some answers, more questions

Fertil Steril. 2007 Aug;88(2):301-4. doi: 10.1016/j.fertnstert.2007.04.050.

Authors

William Gibbons¹, David Grainger, Marcelle Cedars, Tarun Jain, Nancy Klein, Judy Stern; SART Research Committee Writing Group

Affiliation

¹ Birmingham, AL, USA. wgibbons@crmbr.com <wgibbons@crmbr.com>

PMID: 17693326
DOI: 10.1016/j.fertnstert.2007.04.050

Abstract

The past decade has seen a fall in the number of embryos transferred accompanied by a reduction in the rate of higher order multiple pregnancies occurring from U.S. assisted reproductive technology (ART) cycles, which is temporally related to voluntary adherence to embryo transfer guidelines. The twin rate has remained relatively constant. The ability to continue the reduction in multiple pregnancies while maintaining advocacy positions for both patient couples and offspring will best occur with attention to scientific, sociologic, economic, and provider issues.

Publication types

Evaluation Study
Comment

MeSH terms

Annual Reports as Topic
Embryo Culture Techniques / trends
Female
Health Knowledge, Attitudes, Practice
Humans
Insurance Coverage / trends
Insurance, Health / trends
Patient Education as Topic / trends
Pregnancy
Pregnancy, Multiple*
Program Development
Quality of Health Care / economics
Quality of Health Care / trends*
Reproductive Techniques, Assisted / economics
Reproductive Techniques, Assisted / legislation & jurisprudence
Reproductive Techniques, Assisted / standards
Reproductive Techniques, Assisted / trends*
Societies, Medical
United States