The recent news of the birth of octuplets in Houston has rekindled discussion of the ethical issues in medically- assisted pregnancies that can result in six, seven and now eight babies. These octuplets, and the birth just over a year ago of the McCaughey septuplets remind us of the power and the responsibility in being able to manipulate reproduction. These amazing technologies can help otherwise infertile women have children, but point out that there can also be too much of a good thing. Should we limit the maximum number of multiple births in a given pregnancy, and if so, how? What are parents' and physicians' responsibilities for making sure that these limits are respected?…