A U.S.
researcher’s argument that twins are a solution for infertile couples who want
more than one child was highly criticized by many researchers on Monday who
warned of the risks of multiple pregnancies.
Speaking at the annual meeting of the European Society of
Human Reproduction and Embryology in Barcelona, Dr.
Norbert Gleicher from the Centre for Human Reproduction in New York said the
warning currently given to women are fundamentally flawed. He and Dr. David
Barad, a fertility doctor at Albert Einstein College of Medicine in New York wrote a paper
on this issue, which will be published in the journal Fertility and Sterility.
“For infertile patients, desirous of more than one child,
twin deliveries represent a favorable, cost effective and ethical treatment
outcome, which in contrast to current medical consensus, should be encouraged. In
my opinion patients are being misled and put to unnecessary expense,” Dr.
Gleicher said, according to Reuters.
The comments were fiercely disputed by other IVF doctors who
said that Dr. Gleicher’s opinions were based on a flawed analysis of the risks
of multiple pregnancies to both babies and mothers.
Previous studies have showed the twin pregnancies are
dangerous for both the mother and babies. This pregnancy is often associated
with risk of premature birth and low birth weight, cerebral palsy, a high
chance of miscarriage, high blood pressure, hemorrhage and the potential fatal
pregnancy complication pre-eclampsia.
Moreover, up to 60 percent of IVF twins have to be carefully
watched after birth, requiring more days in the intensive care unit, as they
are six times more likely to die in the first year of life than singletons.
All these factors made experts in the UK and other
countries reduce the number of twin births at IVF clinics.
“Couples should be extra cautious about interpreting this
advice because it flies in the face of all other published data about the risks
of multiple births,” Professor Peter Braude, of King's College, London, said.
In 2006, Prof. Braude chaired a Human Fertilization and Embryology Authority
expert panel, which found that more than half of twins are born prematurely. Also
each twins costs the NHS 16 times as much as a singleton birth in the five year
of life and it is estimated that 126 deaths would have been avoided had all IVF
twins born in Britain
in 2003 been singleton births.
The panel also found that mothers of twins face high blood pressure and a
double risk of death than mothers expecting a single child.
Therefore, the HFEA and the British Fertility Society established as their
goals to reduce Britain’s
IVF twin rate from 24 percent to 10 percent by 2012.
However, Dr. Gleicher said the risks of twin pregnancies had been
overestimated because they were compared with one single baby pregnancy, rather
than two a couple would require to get two babies. He further said that two
pregnancies meant more attempts at IVF involving extra treatment and anxiety.
“This is an example of how the medical profession, while meaning very well,
can get dramatically misguided,” Dr. Gleicher said, according to the BBC.