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62 - Complications of Assisted Reproductive Technology

from PART III - ASSISTED REPRODUCTION

Published online by Cambridge University Press:  04 August 2010

Botros R. M. B. Rizk
Affiliation:
University of South Alabama
Juan A. Garcia-Velasco
Affiliation:
Rey Juan Carlos University School of Medicine,
Hassan N. Sallam
Affiliation:
University of Alexandria School of Medicine
Antonis Makrigiannakis
Affiliation:
University of Crete
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Summary

To date nearly two million babies were born as a result of ART which is widely used all over the world for virtually all forms of infertility. The world collaboration report on ART, for the year 2000, included 460,000 in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) cycles from forty-nine countries and total number of babies conceived through ART was between 197,000 and 220,000 (1). It is estimated that the figures in the world IVF report represent only approximately two-thirds of ART cycles performed in the world. The European registers on ART for the year 2002 by ESHRE reported 324,238 treatment cycles, which represented 12 percent increase since year 2001. In thirteen countries where all clinics reported to the register, a total of 177,429 cycles were performed in a population of 193.7 million, corresponding to 916 cycles per million inhabitants. The percentage of infants born after ART ranged from 1.3 to 4.2 percent of the total number of live births in the country (2). The long-term health consequences of this widely used technique have yet to be determined. At every stage of the procedure there is a potential for complications, some of which are dangerous and may be life threatening. Considering the magnitude and the continuous increase in the number of ART cycles IVF, ICSI performed every year, complications of ART is a worldwide iatrogenic health problem.

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Publisher: Cambridge University Press
Print publication year: 2008

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