ABSTRACT
Further pressures have now come into play in that health insurance companies have realized that the financial costs of supporting infants born from multiple pregnancies after IVF are in many cases higher than the cost of supporting IVF.6 In this case, the health insurers may choose not to support clinics that maintain a high multiple pregnancy rate and will only support clinics transferring low numbers of embryos. The current indications are that, in the future, we will be compelled via a legal, financial, or moral obligation to restrict the number of embryos transferred so as to minimize the risk of multiple pregnancy. This situation leads to fears that there will be a concurrent decline in pregnancy rates for many clinics.
