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Fertility-Related Issues 

Fertility-Related Issues
Chapter:
Fertility-Related Issues
Author(s):

Harini Narayan

DOI:
10.1093/med/9780199673643.003.0023
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date: 30 October 2020

This chapter addresses three topics with the common theme of ‘fertility’—the antenatal care of (singleton) pregnancy resulting from assisted reproductive techniques (ART), surrogacy, and contraception in women with underlying medical conditions. Although absolute risks of poor outcomes in pregnancies conceived by ART appear small, there is an increased risk of certain complications. Screening for and strategies to reduce complications are discussed under this topic. Obstetricians, GPs, and midwives need to be aware of the legal, medical, and medico-legal aspects of surrogacy. Contraception for women with underlying medical conditions is an essential part of obstetric care. The underlying medical condition and any comorbidities, potential impact of contraceptives on the underlying condition, medications required for certain chronic conditions which may alter the effectiveness of the contraceptive or vice versa, as well as different dosages and methods of delivery of certain hormonal contraceptives that may have different actions and associated risks, are addressed.

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