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http://dx.doi.org/10.1080/15265161.2012.656807 | DOI Listing |
Hum Reprod
August 2024
Department of Philosophy and Moral Sciences, Ghent University, Gent, Belgium.
In medically assisted reproduction (MAR) success has mostly been measured in terms of achieving (healthy) livebirths. We argue this focus is too narrow and that success should be measured in terms of alleviating patient suffering caused by an unfulfilled child wish. The major implication is that clinics must better tailored care to effectively support patients who do not have child(ren) with treatment.
View Article and Find Full Text PDFJ Pharm Policy Pract
April 2024
Sydney Pharmacy School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Conscientious objection (CO) in healthcare is a controversial topic. Some perceive CO as freedom of conscience, others believe their professional duty-of-care overrides personal-perspectives. There is a paucity of literature pertaining to pharmacists' perspectives on CO.
View Article and Find Full Text PDFJ Assist Reprod Genet
November 2020
Centre for Human Reproduction, Genesis Athens Clinic, Papanikoli, 15232, Athens, Greece.
The COVID-19 pandemic has fueled numerous debates in the field of assisted reproductive technology (ART) as the effect of SARS-CoV-2 on pregnancy and infancy is still considered uncharted territory. Various theses and recommendations on what optimal practice is have emerged, as evidenced by surveys, webinars, and recent publications. ART specialists are faced with dilemmas in light of the lack of concrete scientific evidence required to pave the way towards future safe practice.
View Article and Find Full Text PDFHum Reprod
October 2020
Department of Medical Humanities, University Medical Center Utrecht, Utrecht University, 3508 GA Utrecht, The Netherlands.
Over the years, the demand for ART with donated embryos has increased. Treatment can be performed using donated 'surplus embryos' from IVF treatment or with embryos intentionally created through so-called 'double gamete donation'. Embryo donation is particularly sensitive because treatment results in the absence of a genetic link between the parent(s) and the child, creating complex family structures, including full genetic siblings living in another family in the case of surplus embryo donation.
View Article and Find Full Text PDFHum Reprod
February 2020
Department of Gynecology, Division of Gynecology and Reproductive Medicine, Fertility Center, Humanitas Clinical and Research Center, IRCCS, via Manzoni 56, Rozzano, 20089 Milan, Italy.
Study Question: Is Ongoing Pregnancy Rate (OPR) operator-dependent, and can experience improve embryo transfer efficiency?
Summary Answer: OPR is influenced by the operators who perform the embryo transfer (ET), and experience does not assure proficiency for everyone.
What Is Known Already: ET remains the critical step in assisted reproduction. Although many other factors such as embryo quality and uterine receptivity impact embryo implantation, the proper ET technique is clearly an operator-dependent variable and as such it should be objectively standardized.
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