This book provides a practical overview of the clinical management of assisted reproduction treatment (ART), ranging from pre-pregnancy care through pregnancy, to birth and beyond. ART is increasingly used worldwide as it offers the greatest chances of success among currently available fertility treatment options, regardless of the cause of infertility. Over the last two decades, there have been considerable advances in the field of ART, and its use has become much more accessible. Clinical Management of Pregnancies following ART discusses the importance of understanding potential risks and problems, the psychological impact on prospective parents, and the available choices for parents. It is a useful guide for all health professionals involved in the care of women undergoing ART. ..
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).