ArticleReproductive biomedicine & society online2016
Deciding how many embryos to transfer: ongoing challenges and dilemmas.
Article in Reproductive biomedicine & society online, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Unraveling the Clinical FSH Conundrum: Insights From the Small Ovarian Reserve Heifer Model.Molecular reproduction and development · 2025Review
- Trans-abdominal fetal reduction in higher order multiple pregnancies: a pioneer cohort retrospective study in Nepal.Annals of medicine and surgery (2012) · 2024Article
- The evolving roles of extracellular vesicles in embryo-maternal communication.Communications biology · 2024Review
- Protective placental inflammatory and oxidative stress responses are attenuated in the context of twin pregnancy and chorioamnionitis in assisted reproduction.Journal of assisted reproduction and genetics · 2022Article
- First-time mothers' experiences of foetal reduction in pregnancy following assisted reproductive technology treatment in Taiwan: a qualitative study.Journal of health, population, and nutrition · 2021Article
- In Vitro Fertilization: A Pastoral Taboo?Journal of religion and health · 2021Article
- Temporal trends in preterm birth phenotypes by plurality: Black-White disparity over half a century.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- The Effect of Additional Embryo Transfer on the Pregnancy Rate in Young Women Receiving in vitro Fertilization: A Natural Experiment Study.International journal of women's health · 2021Article
- Morphokinetic parameters as auxiliary criteria for selection of blastocysts cultivated in a time-lapse monitoring system.JBRA assisted reproduction · 2020Article
- Challenges, Dilemmas and Factors Involved in PGD Decision-Making: Providers' and Patients' Views, Experiences and Decisions.Journal of genetic counseling · 2018Article
- Impediments to communication and relationships between infertility care providers and patients.BMC women's health · 2018Article
- Gatekeepers for infertility treatment? Views of ART providers concerning referrals by non-ART providers.Reproductive biomedicine & society online · 2018Article
- How Infertility Patients and Providers View and Confront Religious and Spiritual Issues.Journal of religion and health · 2018Article
- Unconventional combinations of prospective parents: ethical challenges faced by IVF providers.BMC medical ethics · 2017Article
- How much is a child worth? Providers' and patients' views and responses concerning ethical and policy challenges in paying for ART.PloS one · 2017Article
Corrections and comments
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Authors and funding
1 author.
Funding
Abstract
Despite the risks associated with twin and higher-order multiple births, and calls in many countries for single-embryo transfer as the standard of care for good-prognosis patients, providers frequently transfer additional embryos, raising critical questions as to why this is the case and what can be done about it. In-depth interviews of approximately 1 h each were conducted with 27 IVF providers (17 physicians and 10 other healthcare providers) and 10 patients. Professional guidelines often contain flexibility and ambiguities or are unenforced. Thus, both providers and patients frequently wrestle with several dilemmas. Decisions about the number of embryos to transfer emerge as dyadic, dynamic and affected by several factors (e.g. providers' type of institution, and personal and professional experiences and perceptions of the data), leading to differences in whether, how and with what effectiveness clinicians address these issues with patients. Many clinicians feel that the evidence concerning the apparent increased risk associated with a twin birth is not 'compelling', and patients frequently minimize the hazards. These data, the first to explore several critical aspects of how providers and patients view and make decisions about the number of embryos to transfer, thus highlight tensions, uncertainties and challenges that providers and patients confront, and have key implications for future practice, research, policy and education.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.