Reproduction beyond menopause: how old is too old for assisted reproductive technology?
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Due to the recent media attention on postmenopausal women giving birth, there has been an increased scrutiny on the utility and safety of assisted reproductive technology in postmenopausal women.
The purpose of this commentary is to discuss the following: 1) the limitations and complications of ART in women of advanced reproductive age; 2) the balance between the welfare of the mother and that of the child; 3) the double standards of advanced reproductive age; and 4) the importance of financial and social support systems and preconception counseling with advanced reproductive age.
When providing in-vitro fertilization services to women of advanced reproductive age, special considerations must be given to ensure the welfare of mother and the child and that the principles of beneficence and nonmaleficence are guaranteed.
KeywordsEthics In-vitro fertilization Postmenopausal reproduction Child welfare
- 1.Jones B. Oldest woman to give birth dies, leaving twins. USA Today. July 15, 2009. Available at http://www.usatoday.com/news/world/2009-07-15-spain-oldest-woman-birth_N.htm. Accessed September 27, 2009.
- 2.Woman in India ‘has twins at 70’. BBC News. July 5, 2008. Available at http://news.bbc.co.uk/go/pr/fr/-/2/hi/south_asia/7491782.stm. Accessed September 27, 2009.
- 7.Daar JF. Reproductive technologies and the law. Newark: LexisNexis/Matthew Bender; 2005.Google Scholar
- 9.Arias E. United States life tables, 2004. National vital statistics reports. Hyattsville: National Center for Health Statistics; 2007.Google Scholar
- 10.World Health Organization. The global burden of disease: 2004 update. Geneva: WHO; 2008.Google Scholar
- 15.Human Fertilisation and Embryology Authority. Code of practice. 8th ed. London: Human Fertilization and Embryology Authority; 2009.Google Scholar
- 16.American Medical Association. Principles of Medical Ethics. American Medical Association; 2001. Available at http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/principles-medical-ethics.shtml. Accessed April 1, 2010.
- 17.Centers for Disease Control and Prevention. The burden of chronic diseases and their risk factors: national and state perspectives 2002. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2002.Google Scholar
- 18.U.S. Department of Health and Human Services: Mental health: a report of the surgeon general—executive summary. Rockville: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health; 1999.Google Scholar