Citing the health benefits of singleton births, researchers from Australia recommended that countries promote single embryo transfer during assisted reproductive technologies such as IVF to reduce the clinical and economic costs of multiple births.
The researchers analyzed the birth, hospital and death records of 226,624 singleton, 6,941 twin and 285 high order multiple (three or more children) infants born in West Australia between 1993 and 2003. Of these infants, 1% of singletons, 15.4% of twins and 34.7% of higher order multiples were born through assisted reproductive technology.
Twins are 18 times more likely and higher order multiples were 525 times more likely than singletons to be born preterm.
The results showed twins were 18 times more likely and higher order multiples were 525 times more likely than singletons to be born preterm. Mean hospital stays for twins and higher order multiples were 14 days and 34 days, respectively, compared to five days for singletons.
Overall, low birth weight was associated with higher cost at birth. Children born early at a weight between 3 lbs. and 5.5 lbs. incurred an average of $4,529 greater health care costs than singletons born with a typical birth weight. The researchers noted health care costs between singletons, twins and higher order multiples were similar after the first year.
From Our Expert, Dr. Ronald Feinberg
“Employers covering IVF is the most cost-effective strategy for everyone”
Most employers in the United States currently do not cover IVF in their insurance plans. However, having insurance without IVF coverage does not stop people from strongly desiring a family.
The consequences when IVF is an unmanaged and non-covered service are quite costly. When patients pursue IVF and pay out of pocket, they are more likely to insist on having multiple embryos transferred. We know through years of experience at RADfertility that transferring multiple embryos can lead to maternal and fetal health problems as well as significant short-term and long-term health care costs.
If employers covered IVF with the added incentive and requirement that all transfers involved single embryos, it would be the most cost-effective strategy for everyone. The landscape of assisted reproductive technology has shifted away from transferring multiple embryos, and we have adopted vital laboratory technologies at RADfertility within the past few years that make the goal of “one embryo, one healthy baby” a reality.
Cryopreservation, pre-implantation genetic screening (PGS), and EmbryoScope® culture are the strategies we use to identify individual embryos most likely to result in a healthy pregnancy. These three IVF laboratory measures markedly reduce the number of failed embryo transfers and pregnancy losses, which make them significant cost-saving investments in safe and effective family building.
With modern IVF technologies and higher success, we believe providing coverage for IVF while mandating single embryo transfer is the right approach for helping the most people in the U.S. overcome infertility.
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Celebrating 25 Years
In August 1995, Dr. Barbara McGuirk founded Reproductive Associates, now RADfertility, and was soon joined by her partner, Dr. Ron Feinberg. See how we celebrated this special milestone!
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"I feel so lucky to have found RADfertility. I tried two other clinics before I expanded my search and found RADfertility. I drive an hour each way to go to them but I don’t regret a thing. They are so caring and so professional. Every time I message them they respond quickly. Every time I see them they have a friendly smile and warm welcome. They explain everything so well and I never feel lost in the process as I did elsewhere. They also took the time to figure out what was wrong. Other clinics threw up their hands, said 'I don’t know' and pushed me to try IVF."
"Dr. Feinberg and the entire staff at RADfertility are absolutely amazing. The receptionists, coordinators, nurses, and lab staff are compassionate, caring, and straight forward. I’ve had a 12-year infertility journey and I’ve tried other clinics but RADfertility was the only one I felt at ease with. They answered any questions that I had and were there any time I needed them. My coordinator, Amy, was the absolute best and always had my back. Dr. Feinberg’s dedication to his patients is incredible. You are not just a number there, you are a person with individualized needs and care."
"My journey with RADfertility and Dr. McGuirk started when my husband and I were trying to conceive and were having difficulty. We went to RADfertility, where we met Dr. McGuirk. I always say she changed my life and 'fixed' me. Dr. McGuirk is always learning more about endometriosis and how to help her patients. She’s brilliant and truly cares for you! I’m eternally grateful to her and everyone at RADfertility for their unwavering support, love, and care."
"Every step of our journey was tailored to us. We were treated so respectfully. Every detail was clearly explained and we felt so comfortable. Rhonda Wright was a Godsend and inspiring. I highly recommend this place! I cried when my weekly appointments were done and I 'graduated.'"
"The day I met Dr. Neithardt I knew she was the perfect doctor for me. Dr. Neithardt was so compassionate every step of the way. She held my hand, she hugged away tears, and continued to give me hope. There are not enough 'thank you's' in the world for Dr. Neithardt and the whole RADfertility team who will forever have a special place in my heart."
"RADfertility's staff has heart and provided me with exceptional health care. I knew I was in good hands and felt like we were in this together. The doctors and nursing staff always answered all of my questions and provided thorough information about all of my options. I am so fortunate and appreciative of the care that I received at RADfertility. They go above and beyond."
"I cannot begin to explain how wonderful RADfertility is. We were frustrated with trying to start a family and it not working for us. The entire team of doctors and nurses made us feel comfortable and hopeful that we would be parents. We experienced so many ups and downs but we never felt like we were on our IVF journey alone, we had our RADfertility team every step of the way. If you're looking for a supportive team on the IVF journey, look no further. RADfertility is the absolute best."
"Dr. Schillings always kept us informed and never gave up on us. She always explained our options and risks with each procedure. She called us personally when there were any issues or sensitive subjects to cover. Dr. Schillings was the first doctor that had answers for us and wanted to help us have our miracle baby!"
4735 Ogletown-Stanton Road
Medical Arts Pavilion 2
Newark, DE 19713
Silverside Medical Center
2700 Silverside Road, Suite 2A
Wilmington, DE 19810
Eden Hill Medical Center
200 Banning Street, Suite 240
Dover, DE 19904
Phone: (302) 602-8822
Fax: (302) 602-8832