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September 2005 · Vol. 17, No. 9

LETTERS

Overzealous ART: Editor was “too kind”

Fast Track

“We must remember to ‘do no harm’ in infertility care”

Thanks to Dr. Barbieri for taking a stand on the “non-sense” that has become common practice for some practitioners of reproductive endocrinology: the implantation of multiple (more than 2) embryos. Though it can be truly rewarding and joyous to help an IVF patient conceive, these pregnancies contribute significantly to the incidence of premature births, neurodevelopmental disorders, chronic lung disease, deafness and blindness, infant mortality, and long-term behavioral abnormalities.

We must remember the admonition to “do no harm.” In my opinion, the creation of higher-order multiple gestations as a consequence of infertility care is inappropriate.

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