By Bart Fauser, Paul Devroey

In vitro fertilization and different kinds of assisted copy are not any longer experimental tactics. certainly, in Denmark in 2004, four% of all infants born have been conceived through IVF. within the close to destiny, each kindergarten lecture room will particularly in all likelihood have at the least one IVF child.

In this interesting account, of the world's top specialists current an in depth and readable account of assisted replica, describing how this method is utilized to aid infertile have a child. Bart Fauser and Paul Devroey describe the most recent applied sciences, putting them of their clinical and medical settings, outlining such strategies as IVF, sperm injection recommendations, egg donation, fertility maintenance, unmarried embryo move, and reproductive surgical procedure. Fauser and Devroey additionally speak about fertility remedies in sufferers who're no longer infertile (such as unmarried ladies or lesbians). one of many nice controversies swirling round assisted replica is the furor over "designer infants" (manipulating genetic fabric to provide infants with blue eyes or a excessive IQ, or of a selected sex), however the authors contend that the one applicable objective in "designing" a child is to insure a secure being pregnant and supply. The e-book additionally finds key problem of fertility study is to excellent a therapy that avoids a number of being pregnant, a development that has blighted IVF all through its thirty-year heritage. Fauser and Devroey additionally talk about the difficulty of accelerating age-related infertility ("the infertility epidemic") and the potential use of IVF to satisfy this problem and increase beginning charges. the ultimate bankruptcy seems to the long run and proposes that the bounds to assisted copy should be set extra by way of moral issues than through clinical development.

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Additional info for Baby-Making: What the New Reproductive Treatments Mean for Families and Society

Example text

And we were worried too that the sperm cell had to be invasively injected into the female’s oocyte, and not left to find its own way through the outer zona and into the cytoplasm. Thus, with so much potential for harm and to establish the database which would prove (or disprove) the safety of ICSI, we set about the huge task of developing a pregnancy and children follow-up programme. Now, after many analyses and more than two decades of investigation, we can confidently conclude that most of our worries were misplaced, that the rates of mild and major malformations in the ICSI pregnancies and children are no different from those of the children conceived by conventional IVF—or from those found in the general population.

Thus, the impact of the deleterious effect of multiplicity on assisted reproduction is such that most safety studies of IVF find that its only major complication is multiple pregnancy, not the IVF or ICSI procedure itself. This was illustrated in a long-term study of ours at the VUB in Brussels, where we have been following a cohort of ICSI babies since birth, with the oldest in our most recent study eight years of age. At the time, we had overwhelming reasons to begin such a study, for when we were developing our ICSI programme in the early 1990s it was 37 ba by-m a k ing a matter of some concern to us that we could achieve the same pregnancy rates with very poor sperm as with normal samples.

Before then, Italy, unlike all other countries of the old Europe, had no legal provision for assisted reproduction. Practice had been left to self-regulation, respect for life and common sense, but commentators, mesmerised by the high-profile cases of postmenopausal pregnancies or claims that a human clone was imminent, had also described Italy as ‘the wild west’ of IVF; the new legislation would bring Italy into line with the rest of Europe. Law 40, which had the support of the Catholic church and had overcome a national referendum on its way to the statute 47 ba by-m a k ing book, outlawed embryo freezing and required clinics to fertilise no more than three oocytes, all of which had to be transferred.

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