The babies themselves are put at grave risk when there are more than two. Having megamultiples means the babies face less room to grow in the womb, prematurity and low birth weights. All of these translate into high risk for mental retardation, learning disabilities, cerebral palsy and vision and hearing loss for the babies. They are also 20 times more likely to die in the first month of their lives than singletons.

Infants born in big numbers also need to spend a lot of time in neonatal intensive care units to allow vital organs to develop, which means they require expensive, high quality medical care. Those costs are almost always borne by either insurance plans or state Medicaid funds, meaning you and I pay their bills. And obviously, if there are complications that affect the children as they grow, helping the kids — and the parents — with their health problems through special education, multiple surgeries and rehabilitative care can run into the millions of dollars.

No accident
Multiple births are not, as the media coverage would have you believe, unadulterated, wondrous miracles with no downside, nor are they generally the result of accidents, divine will or luck.

Fertility clinics sometimes transplant more than three embryos at a time into women, knowing that megamultiples could result. But a clinic can look good in comparison to its competitors by saying it can succeed in delivering babies to infertile couples. So some, incredibly, continue the practice, understanding it may be at the cost of the mom and babies’ health.

Interactive Learn more about the techniques used to help infertile couples conceive a child.

Some infertility programs also give women drugs to make them ovulate more, but then don’t monitor the patients carefully to ensure that the couple doesn’t have unprotected sex if the drugs are a little too successful and produce too many eggs.

And some clinics do not explain clearly what the real dangers are of having megamultiples. Nor do they fully encourage the option of eliminating one or more of the fetuses in utero — a procedure called selective reduction — to preserve the health of the more viable babies if there are complications or problems in the pregnancy.

Megamultiple births are not the miracles the media makes them out to be. In fact it could be argued that we should be doing more as a matter of public policy to discourage megamultiple births by getting infertility programs to do more to minimize the risk of creating them. But, given the kind of “check your critical senses at the door” media coverage that always seem to accompany these births, these are not ideas you are likely to be asked to consider in thinking about the realities about megamultiple births.

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