科研之友
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摘要
BackgroundIncreasingly couples are travelling overseas to access assisted reproductive technology, known as cross border reproductive care, although the incidence, pregnancy outcomes and healthcare costs are unknown. @@@ AimsTo determine obstetric and neonatal outcomes for multiple pregnancies conceived through fertility treatment overseas, and estimate cost of these pregnancies to the health system. @@@ Materials and methodsRetrospective study of women receiving care for a multiple gestation between July 2013 and June 2015 at Western Australia's sole tertiary obstetric hospital, where conception was by overseas fertility treatment. Obstetric and neonatal outcomes were recorded and cost estimates calculated. @@@ ResultsOf 11710 births, 422 were multiple pregnancies. Thirty-seven pregnancies were conceived with fertility treatment, with 11 (29.7%) conceived overseas. Median antenatal clinic attendances, ultrasound examinations, and fetal assessments for the overseas fertility cases were six, 10, and nine, respectively. The gestational age at delivery ranged from 30 to 38weeks (median 34+1). Median neonatal admission duration was 18days (range 0-47). Cost for obstetric care was estimated between $170000 and $216000, and cost of neonatal care was estimated as $810000, giving a combined total cost of between $980000 and $1026000. @@@ ConclusionAt the sole tertiary obstetric centre in WA, approximately one-third of all multiple pregnancies conceived with fertility treatment resulted from treatment overseas. The Australian healthcare cost for these 11 women and their infants exceeded $1000000. This study suggests that overseas fertility treatment has a significant health-related cost to the mother and infant, and the local healthcare system.
- 出版日期2017-8
