Gestational surrogacy in the Czech Republic.
46, XX Disorders of Sex Development
Abortion, Spontaneous
/ epidemiology
Adult
Chronic Disease
Congenital Abnormalities
Czech Republic
Embryo Transfer
Female
Fertilization in Vitro
Humans
Hysterectomy
Live Birth
/ epidemiology
Mullerian Ducts
/ abnormalities
Organ Transplantation
Pregnancy
Pregnancy Rate
Pregnancy, Multiple
/ statistics & numerical data
Retrospective Studies
Single Embryo Transfer
Surrogate Mothers
gestational surrogacy
intended parents
live birth rate
pregnancy rate
surrogate mother
Journal
Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia
ISSN: 1804-7521
Titre abrégé: Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub
Pays: Czech Republic
ID NLM: 101140142
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
received:
20
04
2018
accepted:
12
07
2018
pubmed:
22
9
2018
medline:
8
1
2020
entrez:
22
9
2018
Statut:
ppublish
Résumé
Gestational surrogacy, is a treatment option for women with certain clearly defined medical problems, usually an absent uterus, to help them have their own genetic children. The aim of our study was to review, evaluate and share our experience and outcomes over the last 13 years of the largest surrogacy program in the Czech republic. A total of 75 intended mothers and 82 surrogate mothers participated in this study. A retrospective cohort study was performed. Anonymized data were collected on 130 cycles of gestational surrogate (2004-2017) directly from the Clinic database. We performed 130 in vitro fertilization cycles with gestational surrogacy which involved 73 fresh embryo transfers and 57 frozen embryo transfers. We achieved 57 (43.9%) pregnancies and 42 (32.3%) live births. The rate of multiple pregnancies was only 2.3 %. The most common indication for using was an absent or damaged uterus (65%), followed by medical conditions precluding pregnancy (23%) and repeated in vitro fertilization cycles or pregnancy failure (12%). In the 14 years of our experience, we have shown that treatment of young women with specific indications for gestational surrogacy is beneficial, successful and relatively free of complications. However, it is imperative to follow the medical indications for this treatment and specialist recommendations.
Sections du résumé
BACKGROUND
BACKGROUND
Gestational surrogacy, is a treatment option for women with certain clearly defined medical problems, usually an absent uterus, to help them have their own genetic children. The aim of our study was to review, evaluate and share our experience and outcomes over the last 13 years of the largest surrogacy program in the Czech republic.
METHODS
METHODS
A total of 75 intended mothers and 82 surrogate mothers participated in this study. A retrospective cohort study was performed. Anonymized data were collected on 130 cycles of gestational surrogate (2004-2017) directly from the Clinic database.
RESULTS
RESULTS
We performed 130 in vitro fertilization cycles with gestational surrogacy which involved 73 fresh embryo transfers and 57 frozen embryo transfers. We achieved 57 (43.9%) pregnancies and 42 (32.3%) live births. The rate of multiple pregnancies was only 2.3 %. The most common indication for using was an absent or damaged uterus (65%), followed by medical conditions precluding pregnancy (23%) and repeated in vitro fertilization cycles or pregnancy failure (12%).
CONCLUSION
CONCLUSIONS
In the 14 years of our experience, we have shown that treatment of young women with specific indications for gestational surrogacy is beneficial, successful and relatively free of complications. However, it is imperative to follow the medical indications for this treatment and specialist recommendations.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM