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17-04-2011 | Gynaecology | Article

‘Insurance coverage reduces multiple IVF pregnancy risk’

Abstract

Free abstract

MedWire News: US states with IVF insurance mandates have lower multiple pregnancy and birth rates than states where IVF is self-financed, indicate US study findings.

This is the result of less embryos being transferred per cycle, note the researchers, who believe physicians and couples living in mandated states are happy to transfer a single embryo, as a failed IVF cycle can be followed-up by another attempt without additional cost.

"Increasing the number of states that provide coverage for IVF would lead to improved maternal-fetal health and lessen the economic impact that multiple births have on the health system," remarked Pasquale Patrizio, from the Yale University School of Medicine in New Haven, Connecticut.

Using data for the 91,753 fresh, nondonor IVF cycles in the USA in 2006, Patrizio and colleagues found significantly higher pregnancy and live-birth rates in nonmandated states compared with mandated states, at 38.8 versus 35.0 percent, and 32.2 versus 29.1 percent, respectively.

However, the average number of embryos transferred per IVF cycle was significantly higher in nonmandated states, at 2.7 compared with 2.4 in mandated states, and subsequently multiple pregnancy rates were also significantly higher, at 29.8 versus 27.3 percent, respectively, observe the authors.

"It does not make economic sense to see insurance not covering IVF but then pay for the costs associated with maternal and neonatal morbidity," Patrizio concluded.

MedWire (www.medwire-news.md) is an independent clinical news service provided by Springer Healthcare Limited. © Springer Healthcare Ltd; 2011

By Sarah Guy