ABSTRACT
This chapter addresses the specific risks and the challenges for the cross-border patients for infertility treatment. Cross-border reproductive care (CBRC) is a distinctive form of medical tourism in which infertile patients cross borders to obtain treatment. The most serious harm associated with CBRC is the risk of multiple pregnancies. Multiple pregnancy leads to a strong increase in obstetric complications, perinatal morbidity, maternal and child mortality rate, congenital malformations, pre-term birth, long-term social, psychological and financial difficulties. On a national level, multiple pregnancy has successfully been managed by linking reimbursement to a single embryo transfer (SET) policy in Sweden, Belgium and other countries. International accreditation should also be linked to an SET policy in clinics. Information provision and counselling are important to promote informed consent and thus patient autonomy. Good counselling ensures that all parties are fully informed, aware of the long term consequences of their treatment and prepared for supported through the mental strains of infertility treatment.
