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While most pregnancies following Assisted Reproduction Treatment (ART) will progress normally and without any complications to mother or baby, some women who conceive after ART as well as their babies are at increased risk of pregnancy complications. There are some schools of thoughts proposing pregnancies following IVF should be regarded as being “high risk” and requires special attention. There are various reasons why ART pregnancies may be at higher risk – Female and male age factor, increased chance of multiple pregnancies, underlying cause of subfertility (pelvic pathology, uterine pathology, endometrial dysfunction) and potential increase in birth defects.
This is an essential read for obstetricians, fertility specialists and Post-graduate trainees.
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Mr Jayaprakasan is a Royal College (RCOG) accredited sub-specialist in Reproductive Medicine and Surgery. He has completed his subspecialty training at NURTURE, Queen's Medical Centre, Nottingham, where he subsequently worked as IVF Consultant and Associate Professor for two years before he moved to take up the lead consultant role at Derby fertility unit.
Mr Jayaprakasan's special interests include Assisted Conception (IVF/ICSI), Reproductive surgeries (Laparoscopy and Hysteroscopy), recurrent pregnancy loss, recurrent implantation failure, PCOS and endometriosis. Mr Jayaprakasan is an expert in the application of advanced pelvic ultrasound in the field of fertility, in which he has done his PhD.
Lucy H. Kean, Bm, BCh, DM, FRCOG
Consultant in Fetal and Maternal medicine
Chief of service for Obstetrics and Gynaecology
Nottingham University Hospitals NHS Trust
Department of Obstetrics
Nottingham
United Kingdom
