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Hum. Reprod. Advance Access published online on January 29, 2004
Human Reproduction, doi:10.1093/humrep/deh097
© 2004 by European Society of Human Reproduction and Embryology
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Received March 25, 2003
Revised September 24, 2003
Accepted October 28, 2003

Article

The desire for multiple pregnancy in male and female infertility patients

Tim J. Child 1*, Anna Maria Henderson 2, and Seang Lin Tan 2

1 McGill Reproductive Center, Royal Victoria Hospital, Department of Obstetrics and Gynecology, McGill University, 687 Pine Avenue West, Montreal, Quebec H3A 1A1, Canada; Oxford Fertility Unit, Nuffield Department of Obstetrics and Gynaecology, University of Oxford, Women’s Centre, Level 4, John Radcliffe Hospital, Oxford OX3 9DU, UK
2 McGill Reproductive Center, Royal Victoria Hospital, Department of Obstetrics and Gynecology, McGill University, 687 Pine Avenue West, Montreal, Quebec H3A 1A1, Canada

* To whom correspondence should be addressed. E-mail: timothychild{at}yahoo.com.


  Abstract

BACKGROUND: It is apparent that many fertility patients consider multiple birth an ideal treatment outcome. We wished to evaluate the desire for multiple birth among patients, and the effect of patient demographics and recognition of the increased fetal risks of multiple pregnancy on this desire. METHODS: This was a prospective questionnaire study completed by 801 male and female infertility patients attending a tertiary level Canadian university fertility clinic. Two logistic regression analyses were performed with desire for multiple birth with next fertility treatment and recognition of the increased fetal risks of multiple pregnancy as the dependent variables. RESULTS: 41% of patients desired a multiple birth. Increasing duration of infertility or previous assisted reproductive treatment increased, and having previous children or recognition of the increased fetal risks decreased, this desire. Patient age or sex did not affect desire for multiple birth. Previous assisted reproductive treatment was associated with increased recognition of the fetal risks of multiple pregnancy. CONCLUSIONS: A significant proportion of fertility patients considers multiple birth an ideal treatment outcome. Recognition of the increased fetal risks of multiple pregnancy significantly reduced this desire. Patient education may play an important role in assisting physicians in the quest to reduce the contribution of assisted reproductive treatment to multiple births and their attending complications.

Key words: Key words: assisted reproductive treatment/complications/counselling/infertility/multiple pregnancy


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