By Jan Gerris, François Olivennes, Petra de Sutter

Around the globe, nearly 500,000 in vitro fertilization cycles are played each year. even though the absolute best result's a fit baby, the know-how incorporates a few various dangers and problems resulting in a trade-off among the efficacy of those remedies and their caliber and protection. Drawing on contributions from overseas specialists with educational and scientific backgrounds, Assisted Reproductive applied sciences: caliber and defense provides an research of the clinical hazards and problems fascinated with reproductive medicine.

Putting the intricacies of reproductive overall healthiness within the highlight, the publication describes side-effects, dangers, and problems on the topic of paintings remedies. It discusses ovarian hyperstimulation syndrome, demonstrates the influence of sensible non-compulsory unmarried embryo move, and focuses seriously on a number of being pregnant because the significant chance issue of artwork. The editors spotlight the particularly much less most likely, yet vital hazards of oncogenic problems, bleeding on the time of ovum retrieval, and the even smaller yet nonetheless current chance for maternal mortality. They comprise discussions of non-medical elements that may have an important influence on people's lives corresponding to mental, sexual, monetary, ethical, moral, and philosophical dilemmas.

In modern litigious weather, sleek administration of any health center is all approximately minimizing hazards and issues. completely addressing caliber and questions of safety in artwork, this ebook presents succinct, updated details on caliber care in reproductive drugs.

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Additional resources for Assisted Reproductive Technologies Quality and Safety: Quality and Safety

Example text

Multiple pregnancy (especially twin pregnancy) has been regarded as an almost inevitable but acceptable complication of ART, and many patients consider twins to be a desirable outcome of these procedures. Proponents of this view ignore the serious consequences of multiple pregnancies for the couple, the newborns and the society1. Maternal morbidity and mortality are significantly increased in multiple pregnancies, in comparison with singleton pregnancies2. Risks to the fetus increase several-fold in multiple pregnancies.

Risk factors for high-order multiple implantation after ovarian stimulation with gonadotrophins: evidence from a series of 1878 consecutive pregnancies in a single centre. Hum Reprod 2001; 16:2124–9 Dickey RP, Taylor S, Lu PY, et al. Relationship of follicle numbers and estradiol levels to multiple implantation in 3608 intrauterine insemination cycles. Fertil Steril 2001; 75: 69–78 Khalil MR, Rasmussen PE, Erb K, et al. Homologous intrauterine insemination. An evaluation of prognostic factors based on a review of 2473 cycles.

In Alberta, Canada, IVF OBSTETRIC RISKS AND NEONATAL COMPLICATIONS 31 treatment accounted for 21% of the twins and all of the triplets born in the province from 1994 to 199616. FREQUENCY OF MULTIPLE GESTATIONS WITH IVF Recent reports from registries and clinics on the frequency of multiple births in ART programs are shown in Table 1. The fifth world report on the outcome of ART for 1998 showed that multiple births remained at a very high level in several countries, but have started to decline in some countries; this applies especially to the triplet and higher-order multiple rate17.

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