The impact of cross-border reproductive care or 'fertility tourism' on NHS maternity services
The impact of cross-border reproductive care or 'fertility tourism' on NHS maternity services
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DOI：
10.1111/j.1471-0528.2009.02294.x
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发表时间：
2009-10-01
影响因子：
5.8
通讯作者：
Jauniaux, E. R.
中科院分区：
文献类型：
--
作者：
McKelvey, A.;David, A. L.;Jauniaux, E. R.
高位多胎妊娠有很高的发病率和死亡率。生育治疗通常是他们受孕的原因，在全球范围内都有不同的规定。我们调查了这些孕妇在英国胎儿医学单位的跨境生育治疗，记录受孕模式，生育治疗的国家，非英国治疗和胎儿减少的原因。在11年的时间里，109名妇女有一个高顺序多胎妊娠。94名妇女（86%）接受了生育治疗，其中24名（26%）在海外接受了治疗。跨境生育治疗对产科医生构成越来越大的挑战。迫切需要关于其发生情况的国家数据。
High order multiple pregnancies have substantial morbidity and mortality. Fertility treatment is commonly responsible for their conception and is available globally with variable regulation. We investigated cross-border fertility treatment in these pregnancies in a UK fetal medicine unit, recording mode of conception, country of fertility treatment, reason for non-UK treatment and fetal reduction. Over an 11-year period, 109 women had a high order multiple pregnancy. Ninety-four women (86%) conceived with fertility treatment of whom 24 (26%) had this performed overseas. Cross-border fertility treatment poses an increasing challenge to obstetricians. National data on its occurrence is urgently needed.