Assisted Reproductive Technologies Quality and
Editor: Jan Gerris
Editor: FranÃ§ois Olivennes
Editor: Petra de Sutter
Table of Contents
1. Assisted Reproductive Technologies: Current Achievements and Challenges for the Future 2.
Epidemiology of Multiple Pregnancy Including Natural Versus Iatrogenic Multiple Pregnancy 3. Obstetric
Risks and Neonatal Complications of Twin Pregnancy and Higher-order Multiple Pregnancy 4. Prevention
of Multiple Pregnancies After Non-in vitro Fertilization Treatment 5. Patient Selection for Single-embryo
Transfer 6. Embryo Selection for Elective Single-embryo Transfer 7. Impact of Elective Single-embryo
Transfer on the Total and Multiple Pregnancy Rate 8. Elective Single-embryo Transfer in the First Cycle of
in vitro Fertilization/Intracytoplasmic Sperm Injection 9. National Experience with Elective Single-embryo
Transfer 10. Laboratory-related Risks in Assisted Reproductive Technologies 11. Timing of Embryo
Transfer as Relevant to Twin Prevention 12. Epidemiology an Pathophysiology of Ovarian
Hyperstimulation Syndrome 13. Clinical Management and Therapy of Ovarian Hyperstimulation Syndrome
14. Ovarian Hyperstimulation Syndrome: Prevention in IVF and non-IVF Treatment 15. Health-economic
Considerations Regarding Single- Versus Double-embryo Transfer 16. Oncogenic Risks Related to
Assisted Reproductive Technologies 17. Genetic Considerations Regarding Azoospermic and Severely
Oligozoospermic Men 18. Preimplantation Genetic Diagnosis: Risks and Complications 19.
Preimplantation Aneuploidy Screening: Myths and Facts 20. Congenital Anomalies After in vitro
Fertilization/Intracytoplasmic Sperm Injection 21. Miscellaneous Risks and Complications 22.
Psychological Complications of Assisted Reproductive Technologies 23. Philosophical and Ethical
Considerations Regarding Assisted Reproductive Technologies
Worldwide, approximately 500,000 in vitro fertilization cycles are performed every year. Although the best
possible result is a healthy child, the technology carries a number of varying risks and complications
leading to a trade-off between the efficacy of these treatments and their quality and safety. Drawing on
contributions from international experts with academic and clinical backgrounds, Assisted Reproductive
Technologies: Quality and Safety presents an analysis of the medical risks and complications involved in
Putting the intricacies of reproductive health in the spotlight, the book describes side-effects, risks, and
complications related to ART treatments. It discusses ovarian hyperstimulation syndrome, demonstrates
the impact of judicious elective single embryo transfer, and focuses heavily on multiple pregnancy as the
major risk factor of ART. 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. 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.
In today's litigious climate, modern management of any clinic is all about minimizing risks and
complications. Thoroughly addressing quality and safety issues in ART, this book provides succinct, up-
to-date information on quality care in reproductive medicine.