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Titolo:
THE GERIATRIC GRAVIDA - MULTIFETAL PREGNANCY REDUCTION, DONOR EGGS, AND AGGRESSIVE INFERTILITY TREATMENTS
Autore:
EVANS MI; HUME RF; POLAK S; YARON Y; DRUGAN A; DIAMOND MP; JOHNSON MP;
Indirizzi:
WAYNE STATE UNIV,DEPT OBSTET & GYNECOL,DIV REPROD GENET,4707 ST ANTOINE BLVD DETROIT MI 48201 WAYNE STATE UNIV,DEPT OBSTET & GYNECOL,DIV REPROD ENDOCRINOL DETROIT MI 48201 WAYNE STATE UNIV,DEPT MOL & MED GENET DETROIT MI 48201 WAYNE STATE UNIV,DEPT PATHOL DETROIT MI 48201 MADIGAN ARMY MED CTR,DEPT OBSTET & GYNECOL TACOMA WA 98431
Titolo Testata:
American journal of obstetrics and gynecology
fascicolo: 4, volume: 177, anno: 1997,
pagine: 875 - 878
SICI:
0002-9378(1997)177:4<875:TGG-MP>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
COLLABORATIVE EXPERIENCE; ASSISTED-REPRODUCTION; SELECTIVE REDUCTION;
Keywords:
MULTIFETAL PREGNANCY REDUCTION; ADVANCED MATERNAL AGE; ASSISTED REPRODUCTIVE TECHNIQUES; DONOR EGGS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
17
Recensione:
Indirizzi per estratti:
Citazione:
M.I. Evans et al., "THE GERIATRIC GRAVIDA - MULTIFETAL PREGNANCY REDUCTION, DONOR EGGS, AND AGGRESSIVE INFERTILITY TREATMENTS", American journal of obstetrics and gynecology, 177(4), 1997, pp. 875-878

Abstract

OBJECTIVE: Recent technologic advances and societal acceptance have dramatically increased the use of donor eggs for infertile couples who require assisted reproductive technologies. Now many ''older'' couplescan access assisted reproductive technologies to achieve pregnancies. We sought to evaluate the changing pattern of patients referred for multifetal pregnancy reduction as a result of donor eggs and age factors in aggressive infertility treatment. STUDY DESIGN: Patients undergoing multifetal pregnancy reduction from 1986 to 1996 were included and categorized by year groupings, age, and the use of donor eggs. RESULTS: A total of 523 patients were referred for and underwent muitifetal pregnancy reduction. Before 1994, only 4 of 226 (1.8%) had received donor eggs, whereas in 1994 to 1996, 29 of 297 (9.8%) had received donor eggs (chi(2)=12.6, p < 0.001). Eight of 9 patients aged greater than or equal to 45 years undergoing multifetal pregnancy reduction receiveddonor eggs. There were no patients aged greater than or equal to 45 years before 1994 but 9 in 1994 to 1996. Four of 9 patients aged greater than or equal to 45 years with multifetal pregnancies chose reduction to singleton gestation. The proportions of patients aged greater than or equal to 40 years have increased from 0% to 11% in the last 8 years. CONCLUSIONS: The availability of donor eggs has dramatically increased the Use of assisted reproductive technologies and subsequent use of multifetal pregnancy reduction in older patients. Older patients are more inclined to want reduction to singleton gestation; they cite parental demands, financial issues, and their ability to parent in their60s and 70s as reasons for reduction to singleton gestation.

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Documento generato il 26/09/20 alle ore 12:12:46