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Strategies for reducing the multiple pregnancies which increase perinatal mortality and morbidity in women undergoing IVF are discussed. Elective single embryo transfer with the promise of subsequent transfer of frozen-thawed embryos would achieve the goal of a single healthy child as a result of IVF treatment. The urgent establishment of a definitive trial comparing elective single versus double embryo transfer is advocated.

Avoiding multiple pregnancies in ART: Evaluation and implementation of new strategies