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Tragic outcome of post-menopausal pregnancy: An obstetric commentary |
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| Authors: | Archana Vasireddy Susan Bewley |
| Affiliation: | 1. Obstetrics and Gynaecology, London Deanery, c/o Queen Elizabeth Hospital Woolwich, South London Healthcare NHS Trust, London SE18 4QH, United Kingdom;2. Complex Obstetrics, Women’s Health Academic Centre, King’s Health Partners, c/o 10th Floor North Wing, St Thomas’ Hospital, Westminster Bridge Rd, London SE1 7EH, United Kingdom |
| Abstract: | The recent Italian court report regarding the removal and adoption of a 1-year-old child conceived with assisted reproduction treatment from parents deemed to be ‘too old’ at ages 57 and 70 brings to the fore the complex medical and ethical issues that surround assisted reproduction. This obstetric commentary examines the biology of reproductive ageing, current childbearing trends and the outcomes of post-reproductive age pregnancies, particularly focusing on maternal mortality as ‘the tip of the iceberg’ of IVF harms. The case highlights the need for global standards to ensure medical accountability. |
| Keywords: | assisted reproduction egg donation IVF harm maternal morbidity maternal mortality post-menopausal pregnancy |
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