The impact of cross-border reproductive care or 'fertility tourism' on NHS maternity services
McKelvey, A.; David, A.L.; Shenfield, F.; Jauniaux, E.R.
Bjog An International Journal of Obstetrics and Gynaecology 116(11): 1520-1523
2009
ISSN/ISBN: 1471-0528 PMID: 19614936 DOI: 10.1111/j.1471-0528.2009.02294.xDocument Number: 206783
High order multiple pregnancies have substantial morbidity and mortality. Fertility treatment is commonly responsible for their conception and is available globally with variable regulation. We investigated cross-border fertility treatment in these pregnancies in a UK fetal medicine unit, recording mode of conception, country of fertility treatment, reason for non-UK treatment and fetal reduction. Over an 11-year period, 109 women had a high order multiple pregnancy. Ninety-four women (86%) conceived with fertility treatment of whom 24 (26%) had this performed overseas. Cross-border fertility treatment poses an increasing challenge to obstetricians. National data on its occurrence is urgently needed.
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