ART: iatrogenic multiple pregnancy?
Verberg, M F G, Macklon, N.S., Heijnen, E M E W and Fauser, B C J M (2007) ART: iatrogenic multiple pregnancy? Best Practice & Research Clinical Obstetrics & Gynaecology, 21, (1), 129-143. (doi:10.1016/j.bpobgyn.2006.09.011). (PMID:17074535).
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Assisted reproductive technologies (ART) are now widely accepted as effective treatment for most causes of infertility. With improving success rates, attention has turned to the problem of multiple pregnancies, which are associated with a poor perinatal outcome, maternal complications and significant financial consequences. The challenge is to reduce multigestational pregnancies while maintaining good treatment outcomes. Methods to prevent multiple pregnancy include restrictive use of ART in couples with a good chance of spontaneous pregnancy, cautious use of gonadotrophins, and increased use of natural-cycle intra-uterine insemination and elective single embryo transfer in in-vitro fertilization and intracytoplasmic sperm injection. The aim of this article is to review the contribution of fertility treatment to multiple pregnancies and strategies for reducing multiples in ART.
|Keywords:||art, complications, ivf, multiple pregnancy, single embryo transfer|
|Subjects:||R Medicine > RG Gynecology and obstetrics
R Medicine > RM Therapeutics. Pharmacology
|Divisions:||University Structure - Pre August 2011 > School of Medicine > Developmental Origins of Health and Disease
|Date Deposited:||10 May 2011 13:48|
|Last Modified:||01 Jun 2011 01:18|
|RDF:||RDF+N-Triples, RDF+N3, RDF+XML, Browse.|
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