Multiple birth resulting from ovarian stimulation for subfertility treatment
Assisted reproductive technologies (ARTs) aim to increase a woman's chances of becoming pregnant by bringing many female and male gametes into close proximity. Techniques to achieve this objective include ovarian hyperstimulation by maturation of several oocytes, intrauterine insemination (IUI)...
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| Veröffentlicht in: | The Lancet (British edition) 2005-05, Vol.365 (9473), p.1807-1816 |
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| creator | Fauser, Bart CJM Devroey, Paul Macklon, Nick S |
| description | Assisted reproductive technologies (ARTs) aim to increase a woman's chances of becoming pregnant by bringing many female and male gametes into close proximity. Techniques to achieve this objective include ovarian hyperstimulation by maturation of several oocytes, intrauterine insemination (IUI) of concentrated sperm, or in-vitro fertilisation (IVF) by bringing gametes together outside the female body. The very nature of ovarian hyperstimulation—with or without IUI—enhances the risk of multiple pregnancy (eg, two or more babies). In most IVF cycles, more than one embryo is transferred, again resulting in an increased chance of multiple pregnancy. Developed societies have witnessed a large rise in prevalence of twin, triplet, and higher order multiple births, mainly resulting from ARTs. The primary aim of this Review is to increase awareness of the many implications of the present iatrogenic epidemic of multiple births. The background of ovarian hyperstimulation, trends supporting current practice, and strategies to reduce the chance of multiple pregnancy are highlighted.
Published online February 4, 2005 http://image.thelancet.com/extras/04art6002web.pdf |
| doi_str_mv | 10.1016/S0140-6736(05)66478-1 |
| format | Article |
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Academic</collection><jtitle>The Lancet (British edition)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fauser, Bart CJM</au><au>Devroey, Paul</au><au>Macklon, Nick S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multiple birth resulting from ovarian stimulation for subfertility treatment</atitle><jtitle>The Lancet (British edition)</jtitle><addtitle>Lancet</addtitle><date>2005-05-21</date><risdate>2005</risdate><volume>365</volume><issue>9473</issue><spage>1807</spage><epage>1816</epage><pages>1807-1816</pages><issn>0140-6736</issn><eissn>1474-547X</eissn><coden>LANCAO</coden><abstract>Assisted reproductive technologies (ARTs) aim to increase a woman's chances of becoming pregnant by bringing many female and male gametes into close proximity. Techniques to achieve this objective include ovarian hyperstimulation by maturation of several oocytes, intrauterine insemination (IUI) of concentrated sperm, or in-vitro fertilisation (IVF) by bringing gametes together outside the female body. The very nature of ovarian hyperstimulation—with or without IUI—enhances the risk of multiple pregnancy (eg, two or more babies). In most IVF cycles, more than one embryo is transferred, again resulting in an increased chance of multiple pregnancy. Developed societies have witnessed a large rise in prevalence of twin, triplet, and higher order multiple births, mainly resulting from ARTs. The primary aim of this Review is to increase awareness of the many implications of the present iatrogenic epidemic of multiple births. The background of ovarian hyperstimulation, trends supporting current practice, and strategies to reduce the chance of multiple pregnancy are highlighted.
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| ispartof | The Lancet (British edition), 2005-05, Vol.365 (9473), p.1807-1816 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete; EBSCOhost Business Source Complete |
| subjects | Artificial insemination Biological and medical sciences Births Female Females Fertility Fertilization in Vitro General aspects Humans Infertility Infertility - diagnosis Infertility - therapy Medical sciences Medical treatment Multiple births Ovulation Induction - adverse effects Ovulation Induction - methods Pregnancy Pregnancy, Multiple - statistics & numerical data Reproductive Techniques Reproductive technologies |
| title | Multiple birth resulting from ovarian stimulation for subfertility treatment |
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