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Urgent: Korean Medical Societies Warn Against ‘Test-Tube Twins’ – Rising Risks & IVF Shift
Seoul, South Korea – In a landmark move, leading obstetrics and gynecology societies in South Korea are issuing urgent warnings about the increasing dangers associated with multiple births resulting from in vitro fertilization (IVF). This breaking news comes as the nation experiences a dramatic surge in twin and triplet pregnancies, challenging a long-held cultural belief that multiple births are a blessing. This shift in medical guidance is poised to reshape IVF practices and patient expectations, and is a critical story for anyone following reproductive health trends. This article is optimized for Google News and SEO to ensure rapid indexing.
The Rising Tide of Multiple Births in Korea
For decades, the arrival of twins or triplets has been celebrated in Korean culture. However, new data reveals a concerning trend. According to the National Data Center, the rate of multiple births has skyrocketed from 2.1% in 2004 to 5.7% in 2023 – a 2.7-fold increase in just 20 years. The number of triplets or higher-order multiples has seen an even more alarming jump, increasing over seven times during the same period (from 62 to 457 births). This contrasts sharply with countries like Japan and the United States, which have seen their multiple birth rates decrease over the same timeframe.
Why the Change in Guidance? The Risks are Real.
The Korean Society of Maternal Fetal Medicine and the Korean Society for Assisted Reproduction are jointly advocating for a move towards safer IVF procedures focused on single embryo transfer. The reasoning is stark: multiple pregnancies significantly increase risks for everyone involved. For mothers, this includes a heightened risk of premature birth and pre-eclampsia. For the babies, the dangers include low birth weight, congenital malformations, and a dramatically increased risk of cerebral palsy – four times higher for twins and a staggering 18 times higher for triplets compared to singleton births. Doctors also face increased medical risk during high-risk deliveries, potentially contributing to a decline in specialists willing to practice obstetrics.
IVF Practices & The Pursuit of Success
The surge in multiple births is directly linked to the growing use of IVF, driven by factors like delayed marriage and increasing infertility rates. Historically, many clinics transplanted two or three embryos to maximize the chances of a successful pregnancy. While IVF success rates have improved, this practice has inadvertently fueled the rise in multiple gestations. In natural pregnancies, the chance of twins is around 1%, but with IVF, that rate jumps to 25-30%. The societal pressure to achieve pregnancy quickly, coupled with a tendency to highlight successful multiple births in media, has further contributed to the problem.
Single Embryo Transfer: A Safer Path Forward
Medical societies are now emphasizing that “pregnancy is always a blessing,” but advocating for a healthier path to parenthood. Single embryo transfer (SET) is being positioned as the standard of care. Studies show that SET significantly reduces the risk of multiple pregnancies without substantially impacting overall pregnancy success rates. Careful consideration of a woman’s age, embryo quality, and previous pregnancy history are crucial when determining the optimal number of embryos to transfer.
A Complex Debate: Patient Preferences & Medical Realities
The shift isn’t without its complexities. Some experts acknowledge that infertile couples may actively desire twins, hoping to reduce the number of IVF cycles needed. Dr. Kim Dong-seok, honorary president of the Korean Association of Obstetrics and Gynecology Practitioners, notes that patient selection is key. Similarly, Dr. Song Ji-hong, head of an infertility center, explains that for women over 35 with lower pregnancy rates, multiple embryo transfers may still be considered. The decision, therefore, requires a nuanced discussion between doctors and patients, weighing the risks and benefits carefully.
This evolving landscape in Korean reproductive medicine highlights a global conversation about balancing the desire for parenthood with the health and well-being of both mothers and children. As IVF technology continues to advance, the focus is shifting towards quality over quantity, prioritizing a safe and healthy pregnancy for every family. Stay tuned to archyde.com for continued coverage of this important story and the latest developments in reproductive health.