Περιγραφή
Reproductive aging is a natural and universal process. Women frequently overestimate the age at which a significant decline in fertility occurs as well as overestimate the success of assisted reproductive technologies to circumvent age-related infertility. Yet there is much that modern medicine can do to improve conception rates in women who delay childbearing and to manage subsequent pregnancies. This book offers guidance on winning strategies for maximizing the live-birth rate and limiting the risk for women trying to conceive later in life. It is intended to assist in navigating this challenging journey and lead to peace of mind that women have been seen, heard, and treated as individuals in the process. Written by leading experts addressing medical options of applying advanced reproductive technologies, psychological, nutritional, lifestyle, systematic approaches to optimizing fertility care for the most challenging demographic of women in a practical, clinically orientated, and most importantly, positive way.
- Written by leading experts in fertility, this book rethinks and redefines ‘fertility planning’ to offer guidance on advanced reproductive technologies, psychological, nutritional, lifestyle, systematic approaches to optimizing fertility care for the most challenging demographic of women wishing to have a healthy baby
- Goes beyond focussing on low success rates of fertility treatments and increased risks associated with pregnancy in this age group to present a compilation of the most successful clinical strategies for this demographic – an element of cultural innovation, taking a positive attitude towards engaging with these women and helping them and the medical teams caring for them
- Includes chapters on patient support, patient experience and support systems in a holistic way – offering inspiration for patient experience architecture as a key element of patient care, fit for the 21st century
Περιεχόμενα
Introduction Dimitrios S. Nikolaou and David B. Seifer
Part I. Demographic Trends:1. Is 40 the new 30? Increasing reproductive intentions and fertility rates beyond age 40 Éva Beaujouan and Tomáš Sobotka
Part II. The Biological Basis of Female Reproductive Aging: What Happens To The Ovaries And The Uterus As They Age?:
2. The biological basis of female reproductive aging: What happens to the ovaries and uterus as they age? Jacquelyn Shaw, Jennifer K. Blakemore, David L. Keefe
Part III. Lifestyle, Environment and Optimizing Reproduction in the 40s:
3. What lifestyle adjustments can maximize the chance of a natural conception and healthy pregnancy in women over 40? Alexandra Kermack
Part IV. Re-Thinking and Re-Defining “Family Planning” For The 21st Century:
4. Diagnostic testing of reproductive aging David B. Seifer and Tanya Glenn
5. Fertility preservation for ‘Social’ reasons Tim Bracewell-Milnes and Dimitrios Nikolaou
Part V. Optimal Deployment of Art Beyond 40:
6. When to use art beyond 40, how often, how many attempts, when to stop Steven D. Spandorfer and Pietro Bartoletto
7. Optimal IVF protocols for women over 40 and low functional ovarian reserve David H. Barad and Norbert Gleicher
8. Fertility counselling beyond 40 Amir Mor and David B. Seifer
9. Support systems and patient experience architecture for fertility care of women over 40 in the 2020s Dimitrios S. Nikolaou and David B. Seifer
Part VI. Obstetric Management Beyond 40:
10. The optimal management of first-trimester pregnancy beyond 40 Beth Cartwright and Aditi Naik
11. Optimal management of pregnancy beyond 12 weeks, labour and the puerperium for woman over 40 Shane Duffy, Pritha Dasmahapatra
Part VII. The Children of Older Parents:
12. What do we know about the children of women over 40 and what can older mothers do to optimize their children’s development? Vickie Schafer and Winifred Mak
Part VIII. What Are Realistic Alternatives to Conceiving With Autologous Eggs?:
13. Practical egg donation in women over 40 James P Toner and Lauren Rouleau
Part IX. New Technologies:
14. Is it likely that reproductive aging could be delayed or reversed using advanced technologies in the future? Paula Amato and Dimitrios Nikolaou
Part X. Ethics:
15. Ethical issues in the use of assisted reproductive technology in women over age 40 Nicole Yoder and Gwendolyn P. Quinn
Final thoughts David B. Seifer and Dimitrios S. Nikolaou
Index.
