3/9/2010
Tuesday morning

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Federal cabinet yesterday decided to ban the use of spare IVF human embryos for research, sparking predictions of an exodus of elite Australian scientists overseas.
Here, only 64% are single births, 28% are twins, 6% triplets, and 2% higher multiples. Even in single births, IVF babies may be delivered prematurely or LBW. As a result, and because these are treated as high-risk pregnancies, the average cost for pregnancy, delivery, and perinatal care for an IVF baby is $150,000. That is usually covered by insurance, however. The IVF procedure itself costs $12,000 to $15,000 and up (add on an additional $2000 for intracytoplasmic sperm injection, which is commonly used now in the half of IVFs performed for male-factor infertility) and usually is not covered. Here about half of the IVF treatments are by private sector. The newer the treatment the greater the share of private sector. On the comparison only about 5% of abortions are private ones. I do not have price info but I doubt it is anywhere near those prices.
The 10-member Andrews committee reported last year and voted six to four in favour of allowing Australian scientists to use spare IVF embryos to create new stem-cell lines. Mr Andrews was one of the four against.
There was an article in August in the NEJM which found no increase of pregnancy rates when 3 or more embryos were transferred than when 2 were transferred, but a higher risk of multiples. The study was carried out in England. In an accompanying editorial, two US infertility specialists objected to the suggestion that only 2 embryos be transferred as a matter of policy, commenting: I got some newer stats. The average number of embryos transferred in IVF was 2.0 in 1996 (down from 2.4 in 1992). The numbers for ICSI and FET are 1.9 and 1.5 respectively. In IVF the distribution was as follows:
The restricive Italian law is a main cause of an intensive IVF tourism and of negative consequences and side effects. Only a liberalisation of the law on the level of the best EU member states can stop infertility tourism. The most concerned people are those who have fertility problems but cant afford expensive treatment abroad. Only the rich couples come to Switzerland for treatment, the poorer ones have no chance to fullfill their child wish. Conrad Engler, Secretary of the European Infertility Alliance and of the Swiss patient organization Child Wish. ________________________________________
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