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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I can say from very recent experience that Shady Grove is now advising against transferring two embryos (I’m mid-thirties, though,  so cannot speak for the 40+ patients).[/quote]

I wonder if it’s really about the risks, or if they are realizing that their two for one promotion wasn’t as profitable  :roll:

Seriously though, I do wonder if it’s economically driven vs risk aversion. I know PPs have mentioned the risks and anecdotal experience, but I will add that my anecdotal experience is that I know many, many twins via IVF (elementary age through high school) and they are mostly all fine. [/quote]

If there is an entity that is anti-twin for profit reasons its insurance companies.  NICU charges and complications for the mother get pricey fast and they cannot create plans without coverage, like they have with IVF. I think the insurance companies bring pressure to bear on professional associations and in turn doctors to avoid twins at all costs. The ranking of outcome look like this:

Singleton birth 
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No birth 
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Twins[/quote]

I hadn’t thought about that. You’re right that insurance companies have motivation to avoid twins before the pregnancy. They can’t deny coverage for the complications that can arise even if the twin pregnancy was by “choice”. [/quote]

This is why Massachusetts now mandates infertility coverage. Insurance companies figured out it was way cheaper to fund infertility cycles and disincentivize multiples instead of subsidizing NICU stays that can run into the millions.[/quote]

You are insane!  Babies stay in NICUs because they are at a real risk of dying or long term issues.  Yes there are many success stories but also many tragedies.  What loving, responsible parent would intentionally try to make this trade off of risk for a second baby on the cheap??[/quote]

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