Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

New study finds stronger regulations of in vitro fertilization may save lives

14.04.2011
The number of couples struggling with infertility is on the rise, and these couples often use assisted reproductive technologies, like in vitro fertilization (IVF), to get pregnant.

Although IVF can be successful, it can also increase the risk of multiple pregnancies (i.e., twins or triplets), which are often caused by transferring more than one embryo.

Twins and triplets are likely to be born prematurely, and, as a result, many have medical complications. A new study soon to be published in The Journal of Pediatrics finds a major decrease in risk, as well as cost, if single embryo transfers are mandated for IVF.

Dr. Keith Barrington and colleagues from the University of Montreal reviewed information from hospital records from the neonatal intensive care unit (NICU) at the Royal Victoria Hospital in Quebec, Canada. Their objective was to find out how many infants admitted to the NICU from July 2005 to July 2007 were from multiple births resulting from IVF, and how many of these infants had complications or required medical interventions.

The authors discovered that 82 infants (17%), admitted to this NICU during the two-year period were from multiple births resulting from some form of assisted reproductive technology. Of these, 75 were twins or triplets whose mothers used IVF. As Dr. Barrington notes, "Among these 75 babies, there were 6 deaths, 5 babies who developed a brain bleed, and 4 babies who developed a potentially blinding eye condition."

Using the information gleaned from the medical records, the authors calculated the estimated reduction of complications and costs if doctors administering IVF were to transfer only one embryo at a time. According to Dr. Barrington, "Across Canada, there would be as many as 840 fewer babies admitted to the NICU, 40 deaths avoided, 46 fewer brain injuries, and 42,400 fewer days of NICU hospitalization." Considering that each day an infant stays in the NICU costs roughly $1000, the savings would be considerable if single embryo transfers were mandatory. Because there were roughly 20 times as many IVF procedures performed in the United States than in Canada in 2008, the savings in the US would be even greater.

The authors strongly advocate regulations restricting the number of embryos to be transferred during IVF. However, because they recognize that IVF procedures are both costly and challenging for the mother, they advocate accompanying regulation with reimbursement of any additional costs incurred. As Dr. Barrington notes, "Since July 2010, all of the fertility centers in Quebec have adopted this approach, and preliminary results show that twin gestation rates have dropped from 30% to 3.8%."

The study, reported in "The Epidemic of Multiple Gestations and NICU use: The Cost of Irresponsibility" by Annie Janvier, MD, PhD, Bridget Spelke, BSc, and Keith Barrington, MB, ChB, appears in The Journal of Pediatrics, DOI 10.1016/j.jpeds.2011.02.017, published by Elsevier.

Brigid Huey | EurekAlert!
Further information:
http://www.elsevier.com

Further reports about: IVF NICU Pediatric embryo transfer infertility reproductive technologies

More articles from Studies and Analyses:

nachricht Drought hits rivers first and more strongly than agriculture
06.09.2018 | Max-Planck-Institut für Biogeochemie

nachricht Landslides triggered by human activity on the rise
23.08.2018 | European Geosciences Union

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Scientists present new observations to understand the phase transition in quantum chromodynamics

The building blocks of matter in our universe were formed in the first 10 microseconds of its existence, according to the currently accepted scientific picture. After the Big Bang about 13.7 billion years ago, matter consisted mainly of quarks and gluons, two types of elementary particles whose interactions are governed by quantum chromodynamics (QCD), the theory of strong interaction. In the early universe, these particles moved (nearly) freely in a quark-gluon plasma.

This is a joint press release of University Muenster and Heidelberg as well as the GSI Helmholtzzentrum für Schwerionenforschung in Darmstadt.

Then, in a phase transition, they combined and formed hadrons, among them the building blocks of atomic nuclei, protons and neutrons. In the current issue of...

Im Focus: Patented nanostructure for solar cells: Rough optics, smooth surface

Thin-film solar cells made of crystalline silicon are inexpensive and achieve efficiencies of a good 14 percent. However, they could do even better if their shiny surfaces reflected less light. A team led by Prof. Christiane Becker from the Helmholtz-Zentrum Berlin (HZB) has now patented a sophisticated new solution to this problem.

"It is not enough simply to bring more light into the cell," says Christiane Becker. Such surface structures can even ultimately reduce the efficiency by...

Im Focus: New soft coral species discovered in Panama

A study in the journal Bulletin of Marine Science describes a new, blood-red species of octocoral found in Panama. The species in the genus Thesea was discovered in the threatened low-light reef environment on Hannibal Bank, 60 kilometers off mainland Pacific Panama, by researchers at the Smithsonian Tropical Research Institute in Panama (STRI) and the Centro de Investigación en Ciencias del Mar y Limnología (CIMAR) at the University of Costa Rica.

Scientists established the new species, Thesea dalioi, by comparing its physical traits, such as branch thickness and the bright red colony color, with the...

Im Focus: New devices based on rust could reduce excess heat in computers

Physicists explore long-distance information transmission in antiferromagnetic iron oxide

Scientists have succeeded in observing the first long-distance transfer of information in a magnetic group of materials known as antiferromagnets.

Im Focus: Finding Nemo's genes

An international team of researchers has mapped Nemo's genome

An international team of researchers has mapped Nemo's genome, providing the research community with an invaluable resource to decode the response of fish to...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

"Boston calling": TU Berlin and the Weizenbaum Institute organize a conference in USA

21.09.2018 | Event News

One of the world’s most prominent strategic forums for global health held in Berlin in October 2018

03.09.2018 | Event News

4th Intelligent Materials - European Symposium on Intelligent Materials

27.08.2018 | Event News

 
Latest News

Matter falling into a black hole at 30 percent of the speed of light

24.09.2018 | Physics and Astronomy

NASA balloon mission captures electric blue clouds

24.09.2018 | Earth Sciences

New way to target advanced breast cancers

24.09.2018 | Health and Medicine

VideoLinks
Science & Research
Overview of more VideoLinks >>>