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Multiple-Birth Risk Associated With In Vitro Fertilization: Revised Guidelines

Larry Lipshultz, MD; David Adamson, MD
JAMA. 1999;282(19):1813-1814. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-19-jbk1117.
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To the Editor: Dr Schieve and colleagues1 from the Centers for Disease Control and Prevention have made excellent use of a unique and validated data set on the outcomes of assisted reproductive technologies. We feel it is important to take note of the history of this data collection and dissemination process and discuss how practitioners will use this information.

The American Society for Reproductive Medicine (ASRM) and its affiliate, the Society for Assisted Reproductive Technology, first began collecting outcomes data on in vitro fertilization in 1985 and clinic-specific data in 1988. Since that time, the success rate of this procedure has more than doubled.23

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