Fertility doctors aim to reduce the rate of twins

Doctors are reporting an epidemic — of twins. Nearly half of all babies born with advanced fertility help are multiple births, new federal numbers show. In the five years since the "Octomom" case, big multiple births have gone way down but the twin rate has barely budged. Twins aren't always twice as nice; they have much higher risks of prematurity and serious health problems. Now fertility experts are pushing a new goal: One. A growing number of couples are attempting pregnancy with just a single embryo, helped by new ways to pick the ones most likely to succeed. New guidelines urge doctors to stress this approach. Abigail and Ken Ernst of Oldwick, N.J., did this to conceive Lucy, a daughter born in September. Using one embryo at a time "just seemed the most normal, the most natural way" to conceive and avoid a high-risk twin pregnancy, the new mom said. Not all couples feel that way, though. Some can only afford one try with in vitro fertilization, or IVF, so they insist that at least two embryos be used to boost their odds, and view twins as two for the price of one. Many patients "are telling their physicians 'I want twins,'" said Barbara Collura, president of Resolve, a support and advocacy group. "We as a society think twins are healthy and always come out great. There's very little reality" about the increased medical risks for babies and moms, she said. The Centers for Disease Control and Prevention's most recent numbers show that 46 percent of IVF babies are multiples — mostly twins — and 37 percent are born premature. By comparison, only 3 percent of babies born without fertility help are twins and about 12 percent are preterm. It's mostly an American problem — some European countries that pay for fertility treatments require using one embryo at a time. The American Society for Reproductive Medicine is trying to make it the norm in the U.S., too. Its guidelines, updated earlier this year, say that for women with reasonable medical odds of success, those under 35 should be offered single embryo transfer and no more than two at a time. The number rises with age, to two or three embryos for women up to 40, since older women have more trouble conceiving. To add heft to the advice, the guidelines say women should be counseled on the risks of multiple births and embryo transfers and that this discussion should be noted in their medical records. "I n 2014, our goal is really to minimize twins," said Dr. Alan Copperman, medical director of Reproductive Medicine Associates of New York, a Manhattan fertility clinic. "This year I'm talking about two versus one. Several years ago I was talking about three versus two" embryos. Article: 3rd December 2013 www.huffingtonpost.com

Single mother age 58 who gave birth to IVF twins asks 'What have I done?'

Three weeks have passed since Carole Hobson brought her IVF twins home from hospital and it’s clear her once ordered life as a mature, single career woman has been completely turned on its head.

A sky-high pile of freshly-washed babygros, bedding and towels sits on the dining table and the ironing board stands permanently in the living room. With the volume of washing, there is obviously little point in putting it away.

She tries to snatch a quick toasted cheese sandwich while son Matthew and daughter Freida sleep upstairs, but manages only a mouthful before the babies start crying in unison.

‘As you can hear, they both have a lusty set of lungs,’ she smiles, padding upstairs to lift Freida gently from her cot while replacing Matthew’s dummy.

Carole is averaging just two or three hours of sleep a night and admits to feeling completely exhausted at times with the relentless routine of feeding, burping, changing, washing and sterilising bottles. After all, she does not have a partner to share the strain.

And at 58, she is embarking on first-time motherhood at an age when most women are looking forward to retirement, grandchildren, holidays and a spot of gentle gardening.

‘I have about two hours a day to myself, to do everything that needs to be done,’ says Carole wearily, as her two dogs Milly and Lucy bark from a room downstairs in the vain hope of walkies. I don’t even have time to read a book any more, let alone eat a proper meal. Some days I feel almost mad with exhaustion.’

Carole’s only been out of the house once so far; to Bluewater shopping centre in Kent this week where a quick trip to the hairdressers was far from a relaxing treat and had to be abruptly curtailed. ‘Matthew chose that moment to do an explosive nappy,’ laughs Carole.

‘I was sitting in the salon chair saying: “You are going to have to hurry up!” It was all rather stressful.

But is she happy? Carole, a 58-year-old former barrister and trained social worker, spent £20,000 and underwent five rounds of IVF treatment — using donor eggs and sperm — to realise her dream of becoming a mother.

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