Showing posts with label multiples. Show all posts
Showing posts with label multiples. Show all posts

Friday, August 19, 2011

Putting the Risks of IVF in Patients' Hands

Australia is home to some renowned fertility specialists. They've also developed a reputation for research on the offspring of IVF, and the most recent information is now being provided in brochure form to patients in Victoria. The brochure is produced by the Victorian Assisted Reproductive Treatment Authority, an Australian institute that helps regulate the use of A.R.T. in that country.

The news about how "The Children of ART" are doing is important to the patients I see at Houston Fertility Center (Here's a link to a related newsletter, now archived on CallDrK.com.) IVF has been helping people conceive babies for more than 30 years now, so current patients can benefit from long-term studies on their development.

So far, the news is overwhelmingly positive, as this brief, related news piece from the Herald Sun explains. One of the biggest hurdles to health for both baby and mom is multiple pregnancy (often a precursor to preterm and premature births), and the fine-tuning of IVF techniques has resulted in far fewer of those. The article also mentions parenting anxiety as being more prevalent in IVF mothers, but I'd wager there are some cultural differences there. Seems to me that in this day and age, most savvy moms have a lot on their plate to worry about, so some anxiety comes with the territory -- no matter how your baby came to be.

The data on a topic as broad as "development of children born from IVF" will always be changing and sometimes debatable. The important thing is that it's out there, that researchers are continuing to explore with long-term studies, and the information is in the patients' hands.

~Dr. Sonja Kristiansen

Tuesday, May 4, 2010

Safe Versus Affordable: Are Couples Forced to Choose?

This article on Australia-based News-Medical.Net reports that increasing numbers of twins and triplets are being born as a result of the global economic crisis.

The increase (in Australia) is due to more infertility patients requesting the transfer of more than one embryo in each IVF cycle. Essentially, in an effort to save money, couples are trying to boost their odds of pregnancy per cycle.

This is an unfortunate state of affairs, since studies have for a long time pointed to several related facts, including the bottom line that multiples and their mothers are at greater risk for numerous precarious health conditions.

Because of the many complex variables at play in each IVF cycle and in each woman's own reproductive condition and functioning, some patients must undergo more than one IVF cycle before successfully achieving a healthy pregnancy. In some cases, one treatment cycle is all that's required.

Now that the combined work of embryologists and reproductive endocrinologists has arrived at a point of making single embryo transfer a viable option for many, and certainly transferring only one or two more embryos to counteract some infertility-causing conditions, my recommendation for struggling couples is to take advantage of seasonal discounts when available.

Rather than boosting your odds per pregnancy, which in turn may boost health risks for you and your hoped-for baby, I encourage patients to time their treatment around clinics' occasional specials. For example, Houston Fertility Center is currently offering IVF for $7,950 per cycle, until June 30, 2010. We've long offered summer price cuts so that patients who typically vacation during summer months can fill their off-time with baby-making. (It's especially popular with teachers, we've learned.) At the discounted rates, if getting pregnant requires more than one cycle of IVF, you'll still be receiving affordable treatment and at a much safer embryo transfer rate.

I know the anxiety that many patients feel, about time passing, about affording treatment, and about possibly never having a baby. But I also know that all of my patients, to a person, want a healthy baby over everything else. Boosting the odds of pregnancy by narrowing down to one IVF cycle with too many embryos is not the safest way to fulfill their dreams.

Wednesday, October 14, 2009

Safer Fertility Treatment Must Be Made Available

The New York Times' recent series on "21st Century Babies" provides a distressing glimpse into an unpleasant side of reproductive medicine.

Besides being the Medical Director of Houston Fertility Center, I am a mother -- and one who is especially sensitive to NICU issues. My first-born spent the first week of his life in the NICU.

It was several days before we knew if he would live. Although he was not a twin, I cannot imagine how awful it would be to wonder if two or three of your children would die before coming home, or have long-term sequela.

Because of this heightened sensitivity, and because assisted reproductive techniques have become so finely tuned, I encourage single embryo transfer in indicated situations.

The NYT series, by Stephanie Saul:

The Gift of Life, and Its Price

Grievous Choice on Risky Path to Parenthood

Experts weigh in on the subject on the blog
The Trouble with Twin Births