Clinical Management of Pregnancies following ART

Clinical Management of Pregnancies following ART

Jayaprakasan, Kannamannadiar; Kean, Lucy

Springer International Publishing AG

12/2016

251

Dura

Inglês

9783319428567

15 a 20 dias


Versão ebook 89,99 €

There are various reasons why ART pregnancies may be at higher risk - Female and male age factor, increased chance of multiple pregnancies, underlying cause of subfertility (pelvic pathology, uterine pathology, endometrial dysfunction) and potential increase in birth defects.
Pre-conception risk assessment.- Medical problems (advanced age, endocrine disease, obesity, malignancies, turner' s syndrome etc.).- Gynaecological problems (fibroids, polyps, congenital uterine anomalies, hydrosalpinx, endometriosis, PCOS).- Psychological issues of periconceptual period.- Pre-conceptual diagnosis (PGD/ PGS/CGH).- Complications of ART and associated early pregnancy problems (OHSS, ectopic pregnancy, miscarriage).- Early pregnancy support: evidence based management (progesterone/ folic acid/ heparin and aspirin etc).- Pre-natal screening options (congenital anomalies, aneuploidies, impact of IVF on serum screening).- Multiple pregnancy.- Pregnancy associated complication (Hypertensive disorders, growth disorders, placental site problems, older women, conception following donor treatment, Surrogate pregnancies).- Intrapartum and post partum care (are they at risk of intrapartum problems?, depression due to high expectation).- Ongoing developments in ART and pregnancy outcome (IVM, fertility preservation: ovarian tissue/whole ovary/ oocyte cryopreservation).
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