By Alastair G Sutcliffe

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That without any hormonal stimulation) results in a single fertilization of a single mature ovum and single embryo replacement. For some couples this will never be an option, but where it is achieved this will dramatically reduce the risks of multiple birth and all that follows from this. CONGENITAL ANOMALIES In the early days of IVF a variety of fears arose about the risk of birth defects as a result of this 'unnatural' process. Would congenital malformations occur more often or would these defects occur later?

The parents may then be disappointed when forced to confront the practicalities of parenting. Some IVF clinics have addressed this issue and have produced supportive family-friendly literature, 28 IVF Children: The First Generation which acknowledges, 'being pregnant was so exciting and now the more demanding ... mundane task of bringing up your little one is upon you'. Colpin and associates 4 studied parent-child relationships and the parents' psychosocial functioning in families which had a first-born child and compared this child with a non-matched naturally conceived control child.

The summary of their findings make painful reading to a pediatrician. 6%). 5% and 25%) for twins, triplets and quadruplets, respectively. 7 weeks, respectively. There was also a proportionate progressive increase in neonatal complications. The mean weights were 2473 ± 745, 1666 ± 441 and 1414 ± 368 g, respectively. 9 days, respectively. There was no difference in the mean Apgar scores or the incidence of congenital malformations in the Studies Investigating Outcome in IVF Children 33 three groups.

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