Fertility medications can cause the detachement of the placenta from the uterus, gestational diabetes, a miscarriage on the third trimester. In vitro fertilization procedure increases the risk of the development of placenta in the lower part of the uterus, the detachement of the placenta, possible high blood pressure.
Some studies showed that multiple births increase the death rate caused by pregnancy. The circumstances that lead to death in this case are infections, embolism (blood clot), hemorrhage (excessive bleeding), high blood pressure.
Babies conceived with the help of assistant reproductive technique are inclined to be born before the due term and to have a very low weight at birth. This items can subsequently cause lung and heart conditions or learning and growing disabilities.
A study performed in 2006 shows that children conceived as a result of in vitro fertilization procedure present the risk of cerebral palsy, a brain disease that prevents muscle coordination.
As you can see there are several risks associated with multiple birth that is why a couple must decide what they wanna do in case the treatment prodeces more than one embryo. They can choose to keep all of them and try to deliver of but this represents a high risk for the mother and the child's health. Another choice would be the reduction of the embryo's number but in this case a damage to the remaining embryos is possible.
The solution recommended by the specialists is the limitation of the number of embryos before implantation. Two or three embryos are implanted and the rest can be frozen for further use. Frozen embryos are as good as normal embryos and don't cause any problem for the development of children conceived with them. Even though the reduction of embryo lowers the success rate, it's more safe to proceed this way because the risk of multiple pregnancies is significantly reduce. Other methods of reducing the risk of multiple births are diminishing the dosage of fertility medications and blastocyst transfer.
Recent studies show that ART is a very good solution for couples unable to conceive. The success rate of ART is about 94%. The risk of chromosomal damage or birth defects is not increased by ART, couples who undergo ART could have other factors like age or genetic factors that might bring about complications.
PGD (preimplantation genetic dignosis) is a procedure that helps identifying the fetus genetic defects and gives an option to the parents if they want to carry on or not with the pregnancy if complications appear.
Process Of In Vitro Fertilization
In Vitro Fertilization (IVF) is a procedure where the eggs of women are taken from the ovary. Then they are fertilized with sperm in a laboratory method, and then the fertilized embryo is returned to the womans uterus. Dr. Mark Rispler ( http://www.innovativefertility.com ) uses extensive diagnostic testing to determine a patients chances for successful IVF
In Vitro Fertilization is a procedure in which the connecting of eggs and sperm takes place outside of the womans body. A woman may be given fertility drugs prior to this procedure so that several eggs mature in the ovaries at the same time. A long, thin needle is used to remove the eggs from the woman. The physician gets a passage to the ovaries using one of two possible procedures. One of the procedures involves inserting a needle through the vagina (transvaginally). The physician guides a needle to the location of the ovaries with the help of an ultrasound machine. In the other procedure, called laparoscopy , a small thin tube with a viewing lens is implanted through an incision in the navel. This allows the physician to see inside the patient and find the ovaries on a video monitor.
Once the eggs are removed, they are processed with sperm in a laboratory dish or test tube. (This is the origin of the term test tube baby.) The eggs are observedlooked at for several days. Once there is proof that fertilization has happened and the cells have begun to divide, they are then returned to the womans uterus.
In the procedure to remove eggs, a sufficient amount may be gathered to be frozen and saved (either fertilized or unfertilized) for further IVF attempts.
In Vitro Fertilization has been used successfully since 1978, which is when the first child to be conceived by this method was born in England. Over the past 20 years, thousands of couples have used this method of ART or similar procedures to become pregnant.
Of the approximately 62 million women of reproductive age in 2002, about 1.2 million, or 2%, had an infertility-related medical appointment within the previous year, and 8% had an infertility-related medical visit at some point in the past. (Infertility services include medical tests to diagnose infertility, medical advice and treatments to help a woman become pregnant, and services other than routine prenatal care to prevent miscarriage.) Additionally, 7 percent of married couples in which the woman was of reproductive age (2.1 million couples) reported that they had not used contraception for 12 months and the woman had not become pregnant.
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