Multiple Births Dilemma: Newsweek "My Turn"

With increased fertility treatments, the U.S. birthrate of twins has more than doubled in the past 30 years and the number of triplets has increased significantly. Parents often face a horrific decision.

Somewhat overlooked, are the surges of neonatal deaths, developmental disabilities, as well as other long-term problems. (I have described the consequences of delayed childbearing in several previous blog posts.)

Mark Evans, an Obstetrician and medical geneticist, described the procedure known as selective reduction in a recent Newsweek, My Turn. "This is accomplished - usually at 3 months gestation - by reducing the number of fetuses down to a manageable number, usually two."

What does selective reduction accomplish? A woman who is pregnant with quadruplets, has a 25% chance of losing all of her babies, but she can decrease the loss rate to about 5% by reducing to twins.

Question: How would you and your spouse respond to your doctor if he/she recommended selective reduction?

The White House Experiment in Child Rearing

Fathers: Running the U.S. is like running a family.
I like Lisa Belkin's essays. Her piece "Father in Chief" recently appeared in the NY Times. It's because our new President seems to be such a good father that the comparisons are numerous.

"Like governing", Belkin tells us, "parenting is messy".
A good parent must tell the truth; shielding children from reality rarely works and leads to distrust. While pushing his stimulus plan, President Obama said the action was needed to keep a "crisis" from spiraling into a "catastrophe". Truth is good.

A good parent listens, asks questions, hears all views, and then decides. Obama listened and he called it bipartisanship.

A good parent admits mistakes like when Obama admitted that he messed up with several cabinet recommendations.

"Maybe we want to know that Dad can be fallible except when he actually is."