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.

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Rachel Delp, Biopsychology

  1. 1. The Risks of a Multiple Gestation Pregnancy Resulting from Infertility Treatment Rachel C. Delp- Biopsychology Department of Biological Sciences
  2. 2. My Internship <ul><li>I spent more than 200 hours as an intern at The Center for Advanced Reproductive Medicine and Fertility office in Edison, NJ </li></ul><ul><li>My function was to shadow the clinical staff, learn everything that encompasses the field of infertility treatment </li></ul><ul><li>I discussed procedures with current and prospective patients </li></ul>
  3. 3. Objective of Thesis <ul><li>As I mentioned before, my internship gave me insight into the practical field of infertility treatment. </li></ul><ul><li>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. </li></ul>
  4. 4. <ul><li>The options include in vitro fertilization (IVF) and intrauterine insemination (IUI) </li></ul><ul><li>Each year, 1.25 million women of reproductive ages 15-44 will seek infertility care (Hogue, 2002) </li></ul>
  5. 5. <ul><li>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) </li></ul><ul><li>These medications manipulate the human body into producing more mature follicles than it would in a natural woman cycle </li></ul>
  6. 6. 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.
  7. 7. <ul><li>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 </li></ul><ul><li>These decisions are often what lead to a multiple gestation </li></ul>
  8. 8. <ul><li>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 </li></ul>
  9. 9. <ul><li>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. </li></ul><ul><li>She remained in the hospital for seven weeks before she gave birth to the octuplets. </li></ul>
  10. 10. <ul><li>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 </li></ul>
  11. 11. <ul><li>The good news is that there are several treatment options available for helping the mothers and their babies </li></ul><ul><li>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). </li></ul><ul><li>The MFPR procedure is typically performed during the tenth through twelfth week of gestation. </li></ul>
  12. 12. <ul><li>In conclusion, I emphasize here the three of my main messages that I usually deliver to those patients with whom I discuss their case </li></ul><ul><li>The human body is made to carry and deliver no more than two babies during one pregnancy </li></ul><ul><li>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 </li></ul><ul><li>For those who become pregnant with multiples they have to seriously consider going through the Multifetal Pregnancy Reduction (MFPR) </li></ul>
  13. 13. Acknowledgment <ul><li>Dr. Gregory H. Corsan </li></ul><ul><li>Renee Kurland </li></ul><ul><li>Kevin Kessler </li></ul><ul><li>Christine Angeles-Bojar </li></ul><ul><li>Dr. Zoltan Fulop </li></ul><ul><li>Dr. Ammini S. Moorthy </li></ul><ul><li>Professor Linda Raths </li></ul>