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首页> 外文期刊>Seminars in reproductive medicine >Ethical obligation for restricting the number of embryos transferred to women: combating the multiple-birth epidemic from in vitro fertilization.
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Ethical obligation for restricting the number of embryos transferred to women: combating the multiple-birth epidemic from in vitro fertilization.

机译：限制转移给女性的胚胎数量的道德义务：与体外受精引起的多胎传染病作斗争。

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摘要

In vitro fertilization (IVF) is an increasingly effective and popular means of achieving pregnancy for infertile women, but contributes to a growing incidence of risky twin pregnancies. Despite studies demonstrating cost-effective means to achieve IVF pregnancy while strictly limiting the number of embryos transferred, multiple-embryo transfer remains the most common practice in the United States, and twin pregnancies continue to increase. IVF providers resist restricting these practices, arguing that this is counter to principles of procreative liberty, patient and professional autonomy, and free-market economics. We counter that physicians have a professional fiduciary responsibility to weigh issues of nonmaleficence to patients and just use of health care resources with patient desires. With oversight from professional organizations, providers should follow strict but medically appropriate restrictions on embryo transfer practices and work toward safer means of optimizing IVF outcomes than multiple-embryo transfer.
机译：体外受精（IVF）是不育妇女获得妊娠的一种越来越有效和流行的手段，但是却增加了高风险双胎妊娠的发生率。尽管有研究表明，在严格限制移植胚胎的数量的同时实现IVF妊娠的成本效益高的方法，但在美国，多胚胎移植仍然是最常见的做法，双胎妊娠继续增加。试管婴儿的提供者拒绝限制这些做法，认为这与生殖自由，患者和专业自主权以及自由市场经济学的原则背道而驰。我们认为，医生负有专业的信托责任，要权衡对患者的非恶意行为，并根据患者的意愿仅使用医疗资源。在专业组织的监督下，提供者应遵循严格，但医学上适当的胚胎移植实践限制，并努力寻求比多胚胎移植更优化IVF结果的安全方法。

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