TAILIEUCHUNG - Pregnancy Outcomes After Assisted Reproductive Technology

Surrogacy is an agreement in which a woman becomes pregnant and gives birth to a child for someone else. Surrogacy can be paid or unpaid, and often involves a legal contract in which the surrogate gives up parental rights to the child she births. If the surrogate’s own eggs are used through alternative insemination or IVF, she is known as the “genetic surrogate.” If embryos are created using another woman’s eggs and implanted in the surrogate, she is known as the “gestational surrogate” and has no genetic tie to the child. Hiring a surrogate in the US can. | JOINT SOGC - CFAS GUIDELINE No 173 March 2006 Pregnancy Outcomes After Assisted Reproductive Technology This guideline has been reviewed by the Genetics Committee and the Reproductive Endocrinology and Infertility Committee and approved by the Executive and Council of the Society of Obstetricians and Gynaecologists of Canada and the Board of the Canadian Fertility and Andrology Society. PRINCIPAL AUTHORS Victoria M. Allen MD MSc FRCSC Halifax NS R. Douglas Wilson Chair MD MSc FRCSC Philadelphia PA CONTRIBUTING AUTHOR Anthony Cheung MBBS MPH MBA FRACOG FRCSC Vancouver BC GENETICS COMMITTEE R. Douglas Wilson Chair MD MSc FRCSC Philadelphia PA Victoria M. Allen MD MSc FRCSC Halifax NS Claire Blight RN Halifax NS Valerie A. Désilets MD FRCSC Montreal QC Alain Gagnon MD FRCSC Vancouver BC Sylvie F. Langlois MD FRCPC Vancouver BC Anne Summers MD FRCPC Toronto ON Philip Wyatt MD PhD North York ON REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY COMMITTEE Paul Claman Chair MD FRCSC Ottawa ON Anthony Cheung MBBS MPH MBA FRACOG FRCSC Vancouver BC Gwen Goodrow MD FRCSC Hamilton ON Gillian Graves MD FRCSC Halifax NS Jason Min MD FRCSC Ottawa ON Abstract Objective To review the effect of assisted reproductive technology ART on perinatal outcomes to provide guidelines to optimize obstetrical management and counselling of Canadian women Key Words Assisted reproductive technology pregnancy outcomes multiple gestation imprinting congenital anomalies using ART and to identify areas specific to birth outcomes and ART requiring further research. Options Perinatal outcomes of ART pregnancies in subfertile women are compared with those of spontaneously conceived pregnancies. Perinatal outcomes are compared between different types of ART. Outcomes This guideline discusses the adverse outcomes that have been recorded in association with ART including obstetrical complications adverse perinatal outcomes multiple gestations structural congenital abnormalities chromosomal abnormalities imprinting

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