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Av akias eposa - 13 maj 2011 11:41
Födelsetal för IVF tvillingar och trillingar har börjat falla i linje med regeringens mål att minska hälsoriskerna som orsakas av flera graviditeter.

Nedgången återspeglar riktlinjer som införts genom den mänskliga fertilisering och embryologi Authority (HFEA) som uppmanade brittiska fertilitetskliniker att begränsa flerbarnsfödslar till högst 24% under 2009/10.

Kvinnor som bär på mer än ett barn har en större risk för missfall och medicinska komplikationer, inklusive blodbrist, blödningar och högt blodtryck. Bebisarna är också i riskzonen för allvarliga hälsoproblem, med tvillingar fyra gånger högre risk att födas med cerebral pares än en enda baby.

Andelen flerbörder efter fertilitetsbehandling kröp ner från 23,6% till 22% mellan 2008 och de första sex månaderna 2009, enligt de senaste siffrorna från HFEA.

Fertilitetskliniker minskar flera födelsetal genom att uppmuntra kvinnor att bara ha ett embryo implanteras i taget. Resten av deras embryon är vanligtvis frysta och lagras för att användas senare.

Utvecklingen mot ett embryo överföring höjer initiala kostnader för par som måste betala kliniker för att ha lagrat embryon implanterade när de vill ha en annan bebis. Lisa Jardine, ordförande för HFEA, sade tillsynsmyndigheten var "mycket nära" ett avtal med Department of Health som skulle avstå från myndighetens avgift på £ 104 för den andra omgången av behandling. Kostnaden för standard IVF-behandling kan vara £ 3500.

HFEA säger att fertilitetskliniker måste få ner flera födelsetal till högst 15%. Tillsynsmyndigheten syftar ytterst att minska tvilling-och triplett bebisar till 10% av alla IVF födda.

"En flerbarnsfödsel är den enskilt största risken att lyckas medgraviditeten , hälsan hos barn och hälsa hos mamman, "Jardine sagt.Bland naturligt utformade barn, ungefär en av 70 är bara en tvilling.Nedgången i flera graviditeter och förlossningar följer en ökning av kvinnor som valt att ha ett embryo som fäst sig i taget, från 4,8% 2008 till 14,7% under första halvåret 2010. Skiftet hade ingen märkbar effekt på den totala graviditet räntor, som uppgick till 31,3% under samma period.

Helen Richens, Policy Manager på HFEA, sade: "Använda enda embryo transfer nästan kan eliminera risken för flerbarnsfödsel."

Ett fall i flera graviditeter förväntas generera betydande besparingar för NHS i prenatal vård och medicinskt stöd för mödrar och spädbarn. En studie år 2006 av Centrum för reproduktiv medicin och fertilitet hos Sheffield rapporterade att övervakning och vård kostnader ökade från £ 3.313 för singleton graviditet till £ 9.122 för tvillingar och £ 32.354 för trillingar.

En tidigare studie, publicerad av en holländsk grupp under 2004 , fann att kostnaden för en tvillinggraviditet upp till sex veckor efter förlossningen var mer än fem gånger högre än en singleton graviditet.
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Av akias eposa - 13 maj 2011 11:39
De ser ut och låter lika, har samma jobb, en liknande smak för kläder och smycken, och genom åren har ofta misstas för syskon.

Men det kom ändå som en stor chock för Alison Slavin och Sam Davies när mer än 15 år i deras vänskap de upptäckte att de verkligen är systrar.

Slavin antogs som barn men tidigare i år fick reda på vem hennes biologiska föräldrar var. Hon insåg genast, att hennes far hade samma namn som hennes bästa kompis pappa - och ett DNA-test senare bekräftade att han var samme man, vilket gör dem halv systrar. "Vi hade skämtat tidigare var vi systrar och folk brukade alltid fråga oss om vi var, sade vi såg likadana, säger Slavin, som var brudtärna på Davies bröllop innan de kände till sina blodsband. "Men jag blev chockad att upptäcka att vi faktiskt var halv systrar."

Kvinnorna lever en mil från varandra i Bristol. De träffades år 1993 genom en gemensam vän, brukade gå till karaoke två gånger i veckan, och blev snart bästa vänner, som delar samma smak i kläder och smycken.

Slavin, 41, berättade hur färgen rinner ut ur hennes ansikte när hon fick reda på namnet på hennes biologiska pappa, eftersom hon såg direkt att det eventuella sambandet med sin vän.

När förhållandet bekräftades Slavin kunde inte nå fram till Davies på telefonen så hon skickade ett SMS säger: ". Hej sis"

Davies, 43, sade: "När Alison textade mig säger mig att vi var systrar en liten del av mig trodde att hon skojade, men en större del tänkte:". Herregud "

"Efter den första chocken jag talade med Alison och hon förklarade allt och jag tänkte: '. Wow" Jag hade alltid velat ha en syster, och vad bättre syster kunde jag ha än min bästa vän?

"Det är sorgligt att vi inte hittar rum tidigare, men du kan inte ändra vad som hänt. Vi är bara mycket glada att vi har fått reda på nu."

Kvinnorna, som båda är barnskötare, har köpt matchande berlocker för ett armband för att visa att de är systrar. Davies sade: "charm är ett silver bok som har orden" det var en gång "på det eftersom vi tyckte det var relevant eftersom detta är en trevlig historia."
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