Monday, January 30, 2017

Is transfer of multiple embryos in this era, acceptable ?

In 2014,very clearly norms have been laid by the AMERICAN SOCIETY OF REPRODUCTIVE MEDICINE -ASRM and SOCIETY OF ASSISTED REPRODUCTION TECHNIQUE-SART about the number of embryos that can be transferred into the uterus of a woman based on the age of the lady and the quality of embryoes  whether cleavage or blastocyst stage. As technology advanced the modern world is moving towards quality SINGLE EMBRYO TRANSFER AND BLASTOCYST QUALITY.
The simple reason being ,the present day nuclear family sub fertile couple prefer raising a single child only.The disadvantages and complications of high order pregnancy starting from bedridden rest,forced cervical stitch,frequent hospitalisation,guilt provoking fetal reduction,risk of pretem birth,classical caesarian,poor prognostic neonatal unit admission increasing the financial burden,maternal risks include  pregnancy induced hypertension,diabetes and anaemia,depression etc.
IT'S TIME ,patients realise the safety issues and better prognosis with transfer of less embryos and cryopreserve of the excess.If less than 30 -single embryo transfer,if 30- 40 -double embryo transfer,if more than 40-not to exceed 3-4 embryos transfer.Couple must be given a fair chance to discuss these issues before transfer and freezing of embryos .At SRINIVAS PRIYA HOSPITAL ,life even in embryos stage is respected and a strong policy of avoiding fetal wastage and reduction .Our good lab standards has given  A SUCCESSFUL BLASTOCYST PROGRAM.
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