Assisted Reproductive Technologies: Quality and Safety

ISBN-13: 9781842143131 / Angielski / Miękka / 2004 / 302 str.

Jan Gerris; Francois Olivennes; Petra de Sutter

Opis

Worldwide, approximately 500,000 in vitro fertilization cycles are performed every year. Although the best possible result is a healthy child, the technology carries a number of varying risks and complications leading to a trade-off between the efficacy of these treatments and their quality and safety. Drawing on contributions from international experts with academic and clinical backgrounds, Assisted Reproductive Technologies: Quality and Safety presents an analysis of the medical risks and complications involved in reproductive medicine. Putting the intricacies of reproductive health in the spotlight, the book describes side-effects, risks, and complications related to ART treatments. It discusses ovarian hyperstimulation syndrome, demonstrates the impact of judicious elective single embryo transfer, and focuses heavily on multiple pregnancy as the major risk factor of ART. The editors highlight the relatively less likely, but important risks of oncogenic complications, bleeding at the time of ovum retrieval, and the even smaller but still existing risk for maternal mortality. They include discussions of non-medical factors that can have a major impact on people's lives such as psychological, sexual, financial, moral, ethical, and philosophical dilemmas. In today's litigious climate, modern management of any clinic is all about minimizing risks and complications. Thoroughly addressing quality and safety issues in ART, this book provides succinct, up-to-date information on quality care in reproductive medicine.

Spis treści

Assisted Reproductive Technologies: Current Achievements and Challenges for the Future, A. Van SteirteghemEpidemiology of Multiple Pregnancy Including Natural versus Iatrogenic Multiple Pregnancy, A. Pinborg and A.N. AndersenObstetric Risks and Neonatal Complications of Twin Pregnancy and Higher-Order Multiple Pregnancy, U.-B. WennerholmPrevention of Multiple Pregnancies after Non-In Vitro Fertilization Treatment, B. Cohlen and P.A. van DopPatient Selection for Single-Embryo Transfer, A. StrandellEmbryo Selection for Elective Single-Embryo Transfer, E. Van RoyenImpact of Elective Single-Embryo Transfer on the Total and Multiple Pregnancy Rate, J. GerrisElective Single-Embryo Transfer in the First Cycle of In Vitro Fertilization/Intracytoplasmic Sperm Injection, D. De NeubourgNational Experience with Elective Single-Embryo TransferIntroduction, J. GerrisFinland, S. Vilska and A. TiitinenBelgium, P. De Sutter and M. DhontSweden, C. BerghThe Netherlands, D. Braat and J. KremerLaboratory-Related Risks in Assisted Reproductive Technologies, J.P.W. VermeidenTiming of Embryo Transfer as Relevant to Twin Prevention, P. De Sutter and J. GerrisEpidemiology and Pathophysiology of Ovarian Hyperstimulation Syndrome, A. DelvigneClinical Management and Therapy of Ovarian Hyperstimulation Syndrome, P.A. van DopOvarian Hyperstimulation Syndrome: Prevention in IVF and Non-IVF Treatment, J. Guibert and F. OlivennesHealth-Economic Considerations Regarding Single- versus Double-Embryo Transfer, P. De Sutter and J. GerrisOncogenic Risks Related to Assisted Reproductive Technologies, P.A. van Dop, H. Klip, and C. BurgerGenetic Considerations Regarding Azoospermic and Severely Oligozoospermic Men, S. Repping, J. de Vries, and F. van der VeenPreimplantation Genetic Diagnosis: Risks and Complications, I. Liebaers, K. Sermon, and E. Van AsschePreimplantation Aneuploidy Screening: Myths and Facts, J. Van der ElstCongenital Anomalies after In Vitro Fertilization/Intracytoplasmic Sperm Injection, M. BonduelleMiscellaneous Risks and Complications, P. De SutterPsychological Complications of Assisted Reproductive Technologies, J. Boivin and J. TakefmanPhilosophical and Ethical Considerations Regarding Assisted Reproductive Technologies, G. PenningsAppendixIndex

O autorze

Jan Gerris MD PhD is Professor of Obstetrics, Gynecology & Fertility, Middelheim Hospital, Antwerp, BelgiumFrançois Olivennes MD PhD is Professor of Reproductive Medicine, Hôpital Cochin, Paris, FrancePetra De Sutter MD PhD is Professor at the Centre for Reproductive Medicine, Ghent University Hospital, Ghent, Belgium