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Introduction
Prevalence and perinatal outcomes of multiple gestation
Health implications of multiple gestation
Obstetric implications of multiple gestation
Prevention of multiple gestation in IVF
Dizygotic and monozygotic twinning after IVF
Impact of improvement in implantation rates and reduction in the frequency of double embryo transfer in fresh and frozen cycles at Melbourne IVF between 2000 and 2005
Elective single embryo transfer
DISCUSSION OF THEME 2
Prevention of multiple gestation in controlled ovarian stimulation
Monitoring of controlled ovarian stimulation to limit twin pregnancy
Multiple pregnancies, ovarian stimulation and ovulation induction
DISCUSSION OF THEME 3
Economic and social implications of multiple gestation
The Victorian experience (Medical Defence Association of Victoria)
Multiple birth versus singleton birth issues
Psychological and social implications of multiple gestation and birth
DISCUSSION OF THEME 4
Role of patients, doctors, media and pharmaceutical companies in preventing multiple gestation
Role of the media
Role of the media
DISCUSSION OF THEME 5
Summation and recommendations