High Order Multiples Reduced
- Most multiple births (triplets or more) are a result of ovarian stimulation followed by intra-uterine insemination.(1)
- The McCaughey septuplets and other high-order multiples are not from in vitro fertilization (IVF) treatment, but from lower-cost procedures that patients choose when they cannot afford IVF.
- In states with insurance mandates, utilization of Assisted Reproductive Treatment(ART) such as in-vitro fertilization are higher(2).This is significant as the number of embryos transferred can be controlled, resulting in less multiple births.
- Insurance coverage can avoid high-cost multiple births.In comparison to states without an insurance mandate, states with mandated infertility insurance have:
- A lower percentage of pregnancies with three or more fetuses;(2)
- A lower number of embryos, per cycle, transferred into a woman’s uterus;(3)
- Lower rates of multiple births.(4,5)
- IVF can be cost-effective when the risks for high-order multiple pregnancies are minimized! Even if insurance companies are not required to cover the cost of IVF, they are financially responsible for maternity care as well as delivery and post-partum care of any children born as a result. When costs associated with IVF are compared to the costs of short or long-term complications for the mother and child[ren], the return on investment is incredible. One 1996 study estimated that the cost per woman who delivered a single baby or twins was approximately $39,000, whereas the cost per woman who delivered triplets or
quadruplets was approximately $340,000.(6)
- Employer Guide on Fertility Benefits: Review of Key Issues for Informed Decision-Making. Schering Plough Corporation, 2008.
- Jain T, Harlow BL, Hornstein MD. Insurance coverage and outcomes of in vitro fertilization. N Engl J Med 2002;347(9):661–666.
- Reynolds MA, Schieve LA, Jeng G, Peterson HB. Does insurance coverage decrease the risk for multiple births associated with assisted reproductive technology? Fertility and Sterility 2008 2003 Jul;80(1):16-23.
- Henne MB, Bundorf MK. Insurance mandates and trends in infertility treatments. Fertility and Sterility Jan;89(1):66-73. Epub 2007 May 7.
- American Society of Reproductive Medicine. 2007 SART Data www.asrm.org. October 15, 2009.
- Goldfarb, JM, et al. “Cost-effectiveness of an in vitro fertilization.” Obstetrics & Gynecology. 87 (1996): 18-21.