There has to be a better way of managing multiple births and matching them with cots in neonatal units".
These women, Dr. Frigoletto added, often "resort to artificial reproduction techniques, which are associated with multiple births, and multiple births are associated with prematurity".
Multiple births and elective Caesarean sections also push up preterm birth rates, said Dr. Jennifer L. Howse, president of the March of Dimes.
She discussed with the patient the risks of multiple births and offered her a procedure known as "selective reduction," in which some fetuses are aborted to reduce the risk to the mother and the other babies.
"Multiple births and assisted-reproductive technologies account for the bulk of the increase in low-birthweight babies," said Dr. Duane Alexander, director of the National Institute of Child Health and Human Development.
As president of the International Society for Twins Studies (1998-2001), Libby travelled the world lecturing on the joys and dilemmas of multiple births and helped to create clinics and special training programmes in many countries.
Rain and snow led to undernourished ewes – which are less likely to have multiple births – and extreme weather conditions and disease killed tens of thousands of sheep.
By transferring only a single embryo, you not only avoid multiple births and all the health problems for the babies and mothers associated with these, but it also results in healthier ART singletons because there are fewer instances of 'vanishing twins' or procedures to reduce the number of foetuses developing after successful implantation of several in the mother's womb".
However, there are other elements of the report that I favour, such as additional provision for parents of children with disabilities, as well as premature and multiple births, and strengthening women's legal protection against dismissal and working time arrangements on return to work.
The plans to restrict child tax credits to two children for new claimants from 2017 incorporate a number of exemptions, including multiple births, and set out that "the Department for Work and Pensions and HMRC will develop protections for women who have a third child as a result of rape or other exceptional circumstances".
Findings on birth order, multiple births and gender for instance conform with existing literature on sub-Saharan Africa (Magadi et al. 2007; Manda 1999; Uthman et al. 2008).
