Document Detail

Assisted reproductive technology-related multiple births: Canada in an international context.
MedLine Citation:
PMID:  21352636     Owner:  NLM     Status:  In-Data-Review    
Objective: It has been well-documented that the use of assisted reproductive technology (ART) increases the risk for multiple births, which are associated with sub-optimal outcomes for pregnant women and their offspring. The occurrence of multiple births due to infertility treatments has been recognized as a significant problem globally, and a number of countries have developed approaches, policies, statutes, and regulations geared to decreasing the rates of multiple births as a result of ART. This review was designed to explore Canada's position in the international context of ART-related multiple births and to examine the strategies of other countries intended to decrease rates of multiple pregnancy. Methods: Data were obtained from publicly available data sources from 21 countries, including Canada, and comparisons were made between pregnancy rates, percentages of live births, percentages of multiple births, numbers of embryos transferred, and governing guidelines and policies. Results: Canada has one of the highest ART-related multiple-birth rates, and the number of embryos transferred per cycle plays an important role in this. Cooperation among stakeholders in the development of approaches and guidelines is essential for preventing multiple births due to infertility treatments. Conclusions: In order effectively to reduce the multiple-birth rate in Canada, it is important to learn from the experiences of other countries, taking the Canadian context into consideration.
Jocelynn L Cook; John Collins; William Buckett; Catherine Racowsky; Edward Hughes; Keith Jarvi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC     Volume:  33     ISSN:  1701-2163     ISO Abbreviation:  J Obstet Gynaecol Can     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101126664     Medline TA:  J Obstet Gynaecol Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  159-67     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Ottawa, Ottawa ON.
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