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Re: Fertility drugs:stop or go? From: Robert Brenner (robbrenner@earthlink.net) Sat Nov 29 12:35:01 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: wagedj@ctrvax.Vanderbilt.Edu: "Hewlitt Packard Palmtop" Previous message: Mark Jutras: "How to prevent multiple multiples" At 01:42 PM 11/26/97 -0600, you wrote: >The major blunder that occurred in the Iowa disaster revolves around the fact >that there was complete ignorance that a multifetal pregnancy could have >resulted from the stimulation cycle. There had to have been inadequate >monitoring for the "fertility specialist" to have been so "shocked" at the >outcome. However, if a couple wishes to risk a high order pregnancy and >agrees to reduce the number of embryos to a safe number, it's probably >acceptable rather than scrap the cycle. The other issue is the ceiling of >estradiol to avoid hyperstimulation syndrome: we use 1500 pg/ml in an >insemination cycle, and have stayed out of trouble. The medium sized >follicles (12-14mm) are the culprits there. If there is ambivalence regarding >reduction, limiting the follicles at 16mm or greater to 3 or 4 is highly >unlikely to result in 100% fertilization, implantation, and continuation. The >lack of proper discussion, and, yes, informed consent, made this "miracle" >possible. > >Ed Marut, MD >Highland Park IVF > I'm waiting for the "sharks" to get hold of these cases. Imagine, wrongful birth time 5 or 6. Lots of money to be made here for raising these kids. Could put reproductive endo malpractice premiums right up there with us Obstetricians. -- Robert Brenner MD FACOG Baltimore MD Robbrenner@earthlink.net Next message: wagedj@ctrvax.Vanderbilt.Edu: "Hewlitt Packard Palmtop" Previous message: Mark Jutras: "How to prevent multiple multiples"

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