Patients undergoing in-vitro fertilization (IVF), should be informed of the risk of multiple births prior to the entering treatment. Financial incentives and improved success rates drives the practice of implanting multiple embryos (Asch & Marmor, 2008). The risk of multiple births is 11.2% for each assisted reproduction therapy (ART). The goal is a single viable pregnancy. To achieve a successful outcome, selective termination of embryos may be required. An informed consent for IVF should include all possible outcomes including the risk of multiple births and the possible need of a selective termination procedure. The consent should also include a plan for disposition of fertilized embryos not utilized in the IVF procedure. In Sara’s case,
