AffiliationDepartment of Obstetrics and Gynaecology, School of Medicine, RCSI, Dublin 2.
Fertilization in Vitro
MetadataShow full item record
CitationWho abandons embryos after IVF? 2010, 103 (4):107-10 Ir Med J
JournalIrish medical journal
AbstractThis investigation describes features of in vitro fertilisation (IVF) patients who never returned to claim their embryos following cryopreservation. Frozen embryo data were reviewed to establish communication patterns between patient and clinic; embryos were considered abandoned when 1) an IVF patient with frozen embryo/s stored at our facility failed to make contact with our clinic for > 2 yrs and 2) the patient could not be located after a multi-modal outreach effort was undertaken. For these patients, telephone numbers had been disconnected and no forwarding address was available. Patient, spouse and emergency family contact/s all escaped detection efforts despite an exhaustive public database search including death records and Internet directory portals. From 3244 IVF cycles completed from 2000 to 2008, > or = 1 embryo was frozen in 1159 cases (35.7%). Those without correspondence for > 2 yrs accounted for 292 (25.2%) patients with frozen embryos; 281 were contacted by methods including registered (signature involving abandoned embryos did not differ substantially from other patients. The goal of having a baby was achieved by 10/11 patients either by spontaneous conception, adoption or IVF. One patient moved away with conception status unconfirmed. The overall rate of embryo abandonment was 11/1159 (< 1%) in this IVF population. Pre-IVF counselling minimises, but does not totally eliminate, the problem of abandoned embryos. As the number of abandoned embryos from IVF accumulates, their fate urgently requires clarification. We propose that clinicians develop a policy consistent with relevant Irish Constitutional provisions to address this medical dilemma.
CollectionsJournal articles & published research
- Deciding the fate of supernumerary frozen embryos: parents' choices.
- Authors: Melamed RM, Bonetti TC, Braga DP, Madaschi C, Iaconelli A, Borges E
- Issue date: 2009 Dec
- [The analysis of physicians' work: announcing the end of attempts at in vitro fertilization].
- Authors: Santiago-Delefosse M, Cahen F, Coeffin-Driol C
- Issue date: 2003 Jul-Aug
- Factors that affect infertility patients' decisions about disposition of frozen embryos.
- Authors: Lyerly AD, Steinhauser K, Namey E, Tulsky JA, Cook-Deegan R, Sugarman J, Walmer D, Faden R, Wallach E
- Issue date: 2006 Jun
- Impairment of the developmental potential of frozen-thawed human zygotes obtained after intracytoplasmic sperm injection.
- Authors: Macas E, Imthurn B, Borsos M, Rosselli M, Maurer-Major E, Keller PJ
- Issue date: 1998 Apr
- Factors associated with disposition of cryopreserved reproductive tissue.
- Authors: Styer AK, Cekleniak NA, Legedza A, Mutter GL, Hornstein MD
- Issue date: 2003 Sep