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Rachel Delp, Biopsychology
 

Rachel Delp, Biopsychology

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Rachel Delp, a graduating senior at Wagner College, uses this Power Point slideshow in delivering his thesis presentation.

Rachel Delp, a graduating senior at Wagner College, uses this Power Point slideshow in delivering his thesis presentation.

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    Rachel Delp, Biopsychology Rachel Delp, Biopsychology Presentation Transcript

    • The Risks of a Multiple Gestation Pregnancy Resulting from Infertility Treatment Rachel C. Delp- Biopsychology Department of Biological Sciences
    • My Internship
      • I spent more than 200 hours as an intern at The Center for Advanced Reproductive Medicine and Fertility office in Edison, NJ
      • My function was to shadow the clinical staff, learn everything that encompasses the field of infertility treatment
      • I discussed procedures with current and prospective patients
    • Objective of Thesis
      • As I mentioned before, my internship gave me insight into the practical field of infertility treatment.
      • Based on my experience, I selected to write my thesis about the risks of a multiple gestation pregnancy resulting from infertility treatment because I believe couples who undergo infertility treatment do not thoroughly understand the potential risks of having a multiple pregnancy.
      • The options include in vitro fertilization (IVF) and intrauterine insemination (IUI)
      • Each year, 1.25 million women of reproductive ages 15-44 will seek infertility care (Hogue, 2002)
      • Due to the increased use of fertility medications and assisted reproductive technology (ART) the frequency of multiple gestations is up by 70 % since 1980 (Belogolovkin and Stone, 2007)
      • These medications manipulate the human body into producing more mature follicles than it would in a natural woman cycle
    • Monitoring of follicles under ultrasound in addition to checking the estrogen level is vital in determining the number and size of follicles and time of ovulation.
      • Financial burdens often lead couples who select IVF treatment into making bad decisions by asking to implant more embryos in order to avoid going through another costly treatment cycle
      • These decisions are often what lead to a multiple gestation
      • 98% of women who are pregnant with multiple fetuses (especially with three or more) are subjected to serious health complications and need rigorous prenatal care and possibly antenatal hospitalization
      • Like all of you know in California during 2009, a single, unemployed mom gave birth to live-born octuplets. The media gave her the name Octomom.
      • She remained in the hospital for seven weeks before she gave birth to the octuplets.
      • If a third of triplets are born extremely premature and are twelve times more likely to die during the first year of life than singletons, one can imagine how a higher number of multiple gestations will have a health effect on both the mother and the fetuses
      • The good news is that there are several treatment options available for helping the mothers and their babies
      • For example, a procedure has been developed that reduces the multiple pregnancy down to a double or single pregnancy known as Multifetal Pregnancy Reduction (MFPR).
      • The MFPR procedure is typically performed during the tenth through twelfth week of gestation.
      • In conclusion, I emphasize here the three of my main messages that I usually deliver to those patients with whom I discuss their case
      • The human body is made to carry and deliver no more than two babies during one pregnancy
      • Due to financial issues, many couples who are using IVF select to implant more embryos thus, hoping to avoid the cost of another IVF cycle. Most fail to see that a multiple pregnancy will end up costing them more money in the future than go through another cycle
      • For those who become pregnant with multiples they have to seriously consider going through the Multifetal Pregnancy Reduction (MFPR)
    • Acknowledgment
      • Dr. Gregory H. Corsan
      • Renee Kurland
      • Kevin Kessler
      • Christine Angeles-Bojar
      • Dr. Zoltan Fulop
      • Dr. Ammini S. Moorthy
      • Professor Linda Raths