2006
DOI: 10.1111/j.1471-0528.2006.00995.x
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Prioritising for fertility treatments—the effect of excluding women with a high body mass index

Abstract: The effect of clinical priority access criteria for access to infertility treatment was examined for women outside the body mass index (BMI) range of 18-32 kg/m 2 . Treatments and outcomes were analysed from 1280 cases referred from 1998 to May 2005. Sixteen percent of women had a BMI of >32 kg/m 2 . Overall, 38% of these women had a birth from conceiving a treatment-related pregnancy or spontaneous pregnancy, compared with 52% of women with BMI < 32 kg/m 2 . Weight loss allowed women in the BMI group >32<35 k… Show more

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Cited by 43 publications
(27 citation statements)
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“…Governments typically target health funding to those areas that will provide maximal benefit. Therefore, the New Zealand government decided to limit public funding of IVF to women with a BMI below 32 kg/m 2 , since live birth rates are lower in obese women compared to their lean and overweight age‐matched counterparts . Furthermore, evidence suggests that weight loss may trigger spontaneous ovulation in obese patients with polycystic ovarian syndrome (PCOS), potentially negating the need for fertility treatment.…”
Section: Arguments Supporting Restriction Of Morbidly Obese Women's Amentioning
confidence: 99%
See 1 more Smart Citation
“…Governments typically target health funding to those areas that will provide maximal benefit. Therefore, the New Zealand government decided to limit public funding of IVF to women with a BMI below 32 kg/m 2 , since live birth rates are lower in obese women compared to their lean and overweight age‐matched counterparts . Furthermore, evidence suggests that weight loss may trigger spontaneous ovulation in obese patients with polycystic ovarian syndrome (PCOS), potentially negating the need for fertility treatment.…”
Section: Arguments Supporting Restriction Of Morbidly Obese Women's Amentioning
confidence: 99%
“…While discretion for accessing treatment is ultimately left to the treating doctor, this policy does create a significant barrier for morbidly obese women accessing assisted reproductive technology (ART). Furthermore, the New Zealand government has gone further and adopted a policy limiting access to public funding for in vitro fertilisation (IVF) to women with a BMI under 32 kg/m 2 . The purpose of this paper is to discuss the scientific and ethical merits of these policies.…”
Section: Introductionmentioning
confidence: 99%
“…Certaines études menées sur des femmes suivies en AMP n'ont pas montré de différence significative entre les différentes classes d'IMC [27][28][29]. De nombreuses autres études permettent de constater que le taux de succès chez les patientes obèses est moindre que chez les femmes dont l'IMC est normal [38 % chez les patientes à IMC > 32 versus 58 % si l'IMC < 32 [30] ; OR du taux de grossesse vivante en fécondation in vitro (FIV) en cas d'IMC > 27 = 0,67 (0,48-0,94) [31]]. …”
Section: Obésité Et Assistance Médicale à La Procréation (Amp)unclassified
“…elevated bMi is also related to poorer outcomes with assisted reproduction, particularly in vitro fertilization (ivF) (li et al, 2010;Ogbuji, 2010;Pinborg et al, 2011;Zhang et al, 2010). Overweight and obese women may have an impaired response to gonadotropins (balen et al, 2006;Fedorcsák et al, 2004) and reduced implantation, pregnancy, and live birth rates following ivF as compared to normal weight women (bellver et al, 2010;Fedorcsák et al, 2004;Gillett et al, 2006). a bMi of 30-35 kg/m 2 has been suggested as a cut-off point range for overweight women seeking ivF treatment (balen et al, 2007).…”
Section: Introductionmentioning
confidence: 98%