This paper reports the proceedings of a consensus meeting on the incidence and complications of multiple gestation in Canada. In addition to background presentations about current and possible future practice in Canada, the expert panel also developed a set of consensus points. The need for infertility to be understood, and funded, as a healthcare problem was emphasized, along with recognition of the emotional impact of infertility. It was agreed that the goal of assisted reproduction treatment is the delivery of a single healthy infant and that even though many positive outcomes have resulted from twin or even triplet pregnancies, the potential risks associated with multiple pregnancy require that every effort be made to achieve this goal. The evidence shows that treatments other than IVF (such as superovulation and clomiphene citrate) contribute significantly to the incidence of multiple pregnancy. There is an urgent need for studies to understand better the usage and application of these other fertility technologies within Canada, as well as the non-financial barriers to treatment. The final consensus of the expert panel was that with adequate funding and good access to treatment, it will be possible to achieve the goal of reducing IVF-related multiple pregnancy rates in Canada by 50%.

译文

:本文报道了关于加拿大多胎妊娠的发生率和并发症的共识会议的会议记录。除了关于加拿大目前和将来可能的做法的背景介绍之外,专家小组还制定了一系列共识点。作为医疗保健问题,人们需要理解和资助不育症,并认识到不育症的情感影响。一致认为,辅助生殖治疗的目标是分娩一个健康的婴儿,即使双胞胎或什至三胞胎妊娠产生了许多积极的结果,但与多次妊娠相关的潜在风险仍需要尽一切努力来实现。目标。证据表明,除IVF以外的其他治疗方法(如超排卵和柠檬酸克罗米芬)对多胎妊娠的发生率有显着影响。迫切需要进行研究以更好地了解加拿大其他这些生育技术的使用和应用,以及治疗的非财务障碍。专家小组的最终共识是,只要有足够的资金和良好的治疗机会,就有可能实现将加拿大IVF相关的多胎妊娠率降低50%的目标。

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