Yes. She conceived her octuplets and 6 older children via in vitro fertilization. She started this off when she was 21 yrs old and dr. Michael kamrava assisted with the ivf. Dr. Kamrava's license has been revoked due to the issues surrounding implantation of 12 embryos-not the standard of care. The ivf resulted in the octuplets in 2009.
Can be avoided. Most high order multiples (triplets or more) come form IUI cycles and not ivf because with ivf we know how many embryos we transfer. The better the ivf clinic the higher the implantation rate and lower the number of embryos necessary to achieve a pregnancy. When clinic produces poor embryo quality they need to transfer more emb to get a pg but then there is also higher risk. Hope this helps.