Another complication that occurs quite typically in pregnancies after hormonal hyperstimulation is adnexal torsion. Even in the absence of a cornual pregnancy, salpingectomy itself represents a risk factor for rupturing of the uterus in an ongoing intrauterine pregnancy in the second or third trimester. Patient selection for single embryo transfer Ofer Fainaru and Mark D. Wennerholm Prevention of Multiple Pregnancies after Non-In Vitro Fertilization Treatment, B. What is the optimum day of transfer for single embryo transfer? Cryo-augmentation after single embryo transfer: the European experience Aila Tiitinen; 9B. Kremer Laboratory-Related Risks in Assisted Reproductive Technologies, J. Easily applicable selection criteria for both twin-prone patients and for good quality embryos with a putative high competence for implantation used to this effect have been described and validated in both retrospective and prospective studies ; , ;.
Bonduelle Miscellaneous Risks and Complications, P. In countries where facilities for neonatal intensive care are lacking, deliberately creating multiple pregnancies is simply unethical. Takefman Philosophical and Ethical Considerations Regarding Assisted Reproductive Technologies, G. Cost-effectiveness of single embryo transfer in assisted reproduction cycles John Collins; 19. VermeidenTiming of Embryo Transfer as Relevant to Twin Prevention, P. Bonduelle Miscellaneous Risks and Complications, P.
De NeubourgNational Experience with Elective Single-Embryo TransferIntroduction, J. Van Steirteghem Epidemiology of Multiple Pregnancy Including Natural versus Iatrogenic Multiple Pregnancy, A. Van Steirteghem Epidemiology of Multiple Pregnancy Including Natural versus Iatrogenic Multiple Pregnancy, A. Andersen Obstetric Risks and Neonatal Complications of Twin Pregnancy and Higher-Order Multiple Pregnancy, U. Complications following oocyte retrieval These complications mainly follow from puncturing a blood vessel, traumatizing an anatomically related structure bowel, ureter or introducing an infection into the peritoneal cavity. The risk of severe complications and sequelae per child belonging to a set of twins is 10% , and apart from severe complications, e. Van Assche Preimplantation Aneuploidy Screening: Myths and Facts, J.
The risks associated with multiple pregnancies Ulla-Britt Wennerholm; 2. Van Royen Impact of Elective Single-Embryo Transfer on the Total and Multiple Pregnancy Rate, J. Table of Contents Assisted Reproductive Technologies: Current Achievements and Challenges for the Future, A. However, it takes its inspiration for a wider and holistic view of human reproductive failure. Single embryo transfer as a model for early conception and implantation Anja Pinborg and Anne Loft; 7. The vaginal blood loss 24 h after non-complicated ultrasound guided transvaginal oocyte pick-up was calculated by to be around 230 ml.
Preimplantation genetic diagnosis and single embryo transfer Willem Verpoest; 11. OlivennesHealth-Economic Considerations Regarding Single- versus Double-Embryo Transfer, P. Van SteirteghemEpidemiology of Multiple Pregnancy Including Natural versus Iatrogenic Multiple Pregnancy, A. Four women developed adnexal torsion, all of whom were pregnant, representing an incidence of 1 in 162 pregnancies. Takefman Philosophical and Ethical Considerations Regarding Assisted Reproductive Technologies, G.
Sequential embryo selection for single embryo transfer Lynette Scott; 9A. Van Assche Preimplantation Aneuploidy Screening: Myths and Facts, J. Although two embryos could in theory suffice to lead to a heterotopic pregnancy, the more embryos transferred, the higher the risk. Responsibility: edited by Jan Gerris, François Olivennes, and Petra De Sutter. 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. Finally, after embryo transfer without previous oocyte retrieval, as in oocyte donation or frozen—thawed cycles, pelvic infection has been described, although it is an extremely rare event.
Delvigne Clinical Management and Therapy of Ovarian Hyperstimulation Syndrome, P. Olivennes Health-Economic Considerations Regarding Single- versus Double-Embryo Transfer, P. Gerris Oncogenic Risks Related to Assisted Reproductive Technologies, P. They state that generalized prophylactic administration of antibiotics remains controversial and of unproven benefit, but should be considered in patients at risk of inadvertent puncture and inoculation, such as patients with known adhesions, endometriosis and pseudocysts. Both high-order multiple and twin pregnancies entail a number of medical and economic outcomes that affect the children, the mother, the parents, the families, and society as a whole.
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. Gerris Epidemiology and Pathophysiology of Ovarian Hyperstimulation Syndrome, A. However, most of the involved pregnancies end with the birth of a living child, if adequate emergency care is available. In today's litigious climate, modern management of any clinic is all about minimizing risks and complications. 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. Single Embryo Transfer reviews the advantages and limitations of this approach to assisted reproduction. El-Fakahany and Emre Seli; 21.