The impact of cross-border reproductive care or ‘fertility tourism’ on NHS maternity services

Authors


A McKelvey, Fetal Medicine Unit, Elizabeth Garrett Anderson Wing, University College Hospitals NHS Foundation Trust, 235 Euston Road, London NW1 2BU, UK. Email alastairmckelvey@doctors.org.uk

Abstract

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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