Best Practice & Research Clinical Obstetrics & Gynaecology

Items from 1 to 20 out of 104 results

article

Donor gametes: anonymous or identified?

Ken Daniels

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > 113-128

The practice of gamete donation has, until recently, been shrouded in secrecy. The stigma associated with infertility and, in particular, donor insemination has been the main factor contributing to this secrecy. Over the last 20 years, this secrecy and the anonymity of the gamete donors has been challenged. In the first instance, the challenge came from governments in some countries legislating to...

article

PGD for aneuploidy screening: an expensive hoax?

Patricio Donoso, Paul Devroey

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > 157-168

Pre-implantation genetic diagnosis for aneuploidy screening (PGD-AS) constitutes a technique developed to improve embryo selection in patients with a poor outcome after in-vitro fertilization treatment due to an increased frequency of numerical chromosome abnormalities in the embryos. Although multiple studies have evaluated the performance of PGD-AS in different groups of patients, inconsistencies...

article

GnRH agonists vs antagonists

B.C. Tarlatzis, E.M. Kolibianakis

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > 57-65

Gonadotropin-releasing hormone (GnRH) agonists were introduced in ovarian stimulation for in-vitro fertilization to suppress the premature surge of luteinizing hormone (LH). Although agonist use is accompanied by a series of disadvantages, including hypoestrogenaemia, cyst formation, a requirement for a prolonged period of downregulation, and an increase in follicle-stimulating hormone (FSH) and LH...

article

Ageing and ART: a waste of time and money?

Ernest Hung Yu NG, Pak Chung HO

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > 5-20

In many societies, more and more young women are delaying childbearing until the fourth decade of life. It is well known that fertility is remarkably reduced with increasing age of women in both natural conceptions and assisted reproductive technology (ART). In this chapter, the effect of ageing on the pregnancy rate in ART, and the options available to improve the reproductive outcomes in women of...

article

Outcomes of IVF conceptions: are they different?

Jane Halliday

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > 67-81

Perinatal outcomes, such as preterm delivery, low birth weight and some obstetric complications, are increased significantly after in-vitro fertilization (IVF) compared with spontaneously conceived pregnancies. The degree of difference is greater for singletons than for twins, especially with regard to preterm delivery which is increased two fold in IVF singletons and by 40% in twins. It is difficult...

article

Controversies in Assisted Reproductive Technologies Multiple Choice Questions for Vol. 21, No. 1

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > A1-A8

article

Preface

R.J. Norman

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > 3

article

ART: iatrogenic multiple pregnancy?

M.F.G. Verberg, N.S. Macklon, E.M.E.W. Heijnen, B.C.J.M. Fauser

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > 129-143

Assisted reproductive technologies (ART) are now widely accepted as effective treatment for most causes of infertility. With improving success rates, attention has turned to the problem of multiple pregnancies, which are associated with a poor perinatal outcome, maternal complications and significant financial consequences. The challenge is to reduce multigestational pregnancies while maintaining...

article

Publisher's note

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > 1

article

Evidence-Based Gynaecology: Part II Answers to Multiple Choice Questions for Vol.20, No.6

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > A9-A18

article

Patients' attitudes to their embryos and their destiny: social conditioning?

Sheryl de Lacey

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > 101-112

The clinical management of embryo storage and disposal is dynamic and subject to changes in the cultural context such as public debate and the implementation of public policy. Studies of the decisions made by patient couples for their embryos, and trends in decision-making over time and in relation to issues arising in the cultural context are rare. Studies of the attitudes that patient couples have...

article

Aims and Scope/Editorial Board

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > iii

article

Index

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > I1

article

In-vitro maturation of eggs: is it really useful?

Anne-Maria Suikkari, Viveca Söderström-Anttila

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > 145-155

In in-vitro maturation (IVM), immature oocytes are collected from small antral follicles and allowed to mature in the laboratory before routine in-vitro fertilization or micro-injection. The authors' experience in IVM is based on the treatment of two main groups of patients: women with polycystic ovaries and women with normal ovaries. Patients with polycystic ovarian syndrome have irregular, mostly...

article

Blastocyst or cleavage-stage embryo transfer?

Neil Johnson, Debbie Blake, Cindy Farquhar

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > 21-40

•Does blastocyst embryo transfer offer benefit over cleavage-stage embryo transfer in assisted conception treatment?•Following natural conception, the embryo is traversing the fallopian tube at cleavage stage; it is in the uterus at blastocyst stage.•Embryo development to cleavage stage occurs under maternal genomic control.•To reach blastocyst stage, embryos need to develop under their own genomic...

article

Embryo culture medium: which is the best?

Michelle Lane, David K. Gardner

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > 83-100

With the growing move in in-vitro fertilization (IVF) clinics to transfer fewer embryos to women, there is an increasing reliance on the IVF laboratory to maximize embryo viability. Subsequently, there is justified scrutiny on the culture system and the media used to sustain the human embryo in vitro. The transfer of fewer embryos to patients also creates an increased dependence on the ability to...

article

Religion, infertility and assisted reproductive technology

Andrew Dutney

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > 169-180

This chapter describes religion in general before discussing the centrality of its concern for family formation. In light of this, the impact of infertility on religious people is considered. Recognizing religion's cautiously positive attitude towards assisted reproductive technology (ART) as a potential ally in the project of family formation and the relief of infertility, two areas that have caused...

article

Quality management systems in ART: are they really needed? An Australian clinic's experience

G.M. Warnes, R.J. Norman

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 1 > 41-55

As assisted reproductive technology (ART) expanded globally, several countries introduced prescribed requirements for treatment and monitoring of outcomes, as well as a licensing or accreditation requirement. While it is common for ART laboratories to be required to have an effective quality control system, the remainder of the clinic is often under less stringent regulation. Furthermore, when treatment...

article

Psychosexual function and impact of gynaecological cancer

Maxine L. Stead, Lesley Fallowfield, Peter Selby, Julia M. Brown

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 2 > 309-320

A diagnosis of gynaecological cancer and its treatment are usually associated with many physical and psychological changes, both as a result of the diagnosis itself and of the usual treatments of surgery, radiotherapy and/or several months of chemotherapy. Patients often experience symptoms such as fatigue, abdominal swelling and pain, and suffer from emotional distress and disturbances of their life...

article

Psychological aspects of perinatal loss

William Badenhorst, Patricia Hughes

Best Practice & Research Clinical Obstetrics & Gynaecology > 2007 > 21 > 2 > 249-259

After perinatal loss, parents experience painful grief. Fathers and mothers show the same pattern of symptoms, but generally mothers' distress is more intense. Grief should be sympathetically acknowledged by health professionals, and parents should be reassured that their feelings are normal and that recovery may take many months. Intense depression lasting more than 6 months may require psychological...

Year:
2007

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21 (104)

Keywords

MENORRHAGIA (10)
PATIENT SAFETY (8)
PREGNANCY (6)
BACTERIAL VAGINOSIS (5)
PRETERM BIRTH (5)
RISK MANAGEMENT (5)
ABNORMAL UTERINE BLEEDING (4)
ENDOMETRIAL ABLATION (4)
IVF (4)
PRETERM DELIVERY (4)
PRETERM LABOUR (4)
ART (3)
DEPRESSION (3)
MEDICAL ERRORS (3)
SCREENING (3)
ANTIBIOTIC (2)
BENCHMARKING (2)
BLASTOCYST (2)
CERVICAL CERCLAGE (2)
CERVIX (2)
CHORIOAMNIONITIS (2)
COMPLICATIONS (2)
CYTOKINES (2)
EMBRYO (2)
EPIDEMIOLOGY (2)
FIBROIDS (2)
GYNAECOLOGY (2)
HYSTEROSCOPY (2)
IN-VITRO FERTILIZATION (2)
INFANT (2)
INFERTILITY (2)
INFLAMMATION (2)
MISCARRIAGE (2)
OXYTOCIN (2)
PREMATURITY (2)
PRETERM (2)
PREVENTION (2)
PROSTAGLANDINS (2)
PSYCHOLOGICAL MORBIDITY (2)
QUALITY OF LIFE (2)
RISK (2)
RISK ASSESSMENT (2)
RISK FACTOR (2)
STILLBIRTH (2)
STRESS (2)
SYSTEMATIC REVIEW (2)
TOCOLYSIS (2)
ABNORMAL VAGINAL FLORA (1)
ACOG (1)
ACUTE BRADYCARDIA (1)
ACUTE TOCOLYSIS (1)
AEROBIC VAGINITIS (1)
AGEING (1)
ALTERNATIVES (1)
AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS (1)
ANEUPLOIDY SCREENING (1)
ANONYMOUS (1)
ANOREXIA (1)
ANTIBIOTICS (1)
ANXIETY (1)
APOPTOSIS (1)
ASCENDING INFECTION (1)
ASSESSMENT (1)
ASSISTED CONCEPTION (1)
ASSISTED REPRODUCTIVE TECHNOLOGY (1)
ASYMPTOMATIC (1)
ATOPOBIUM (1)
ATTITUDES (1)
BACTERIURIA (1)
BIRTH ASPHYXIA (1)
BIRTH DEFECTS (1)
BRAIN INJURY (1)
BRONCHOPULMONARY DYSPLASIA (1)
BRONCHPULMONARY DYSPLASIA (1)
BULIMIA (1)
CANDIDA ALBICANS (1)
CARDIOTOCOGRAPH (CTG) (1)
CAVATERM (1)
CERVICAL INSUFFICIENCY (1)
CERVICAL LENGTH (1)
CERVICAL SUTURE (1)
CERVICO-VAGINAL FETAL FIBRONECTIN (1)
CHILD HEALTH (1)
CLEAVAGE STAGE (1)
CLINICAL APPLICATION (1)
CLINICAL AUDIT (1)
CLINICAL GUIDELINES (1)
CLINICAL NEGLIGENCE (1)
CLINICAL TRIAL (1)
CNST (1)
CO-MORBIDITY (1)
COGNITIVE BEHAVIOUR THERAPY (1)
COMMUNITIES OF PRACTICE (COPS) (1)
CONTRACTANT PATHWAYS (1)
COST (1)
COST-EFFECTIVENESS (1)
COUNSELING (COUNSELLING) (1)
COUNSELLING (1)
CULTURE CHANGE (1)
CULTURE MEDIA (1)
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INFONA - science communication portal

Best Practice & Research Clinical Obstetrics & Gynaecology

Donor gametes: anonymous or identified?

PGD for aneuploidy screening: an expensive hoax?

GnRH agonists vs antagonists

Ageing and ART: a waste of time and money?

Outcomes of IVF conceptions: are they different?

Controversies in Assisted Reproductive Technologies Multiple Choice Questions for Vol. 21, No. 1

Preface

ART: iatrogenic multiple pregnancy?

Publisher's note

Evidence-Based Gynaecology: Part II Answers to Multiple Choice Questions for Vol.20, No.6

Patients' attitudes to their embryos and their destiny: social conditioning?

Aims and Scope/Editorial Board

Index

In-vitro maturation of eggs: is it really useful?

Blastocyst or cleavage-stage embryo transfer?

Embryo culture medium: which is the best?

Religion, infertility and assisted reproductive technology

Quality management systems in ART: are they really needed? An Australian clinic's experience

Psychosexual function and impact of gynaecological cancer

Psychological aspects of perinatal loss

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