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Strowitzki T, Griesinger G, Kentenich H. Implantation und Frühschwangerschaft. Gynäkologische Endokrinologie 2018. [DOI: 10.1007/s10304-018-0207-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Kentenich H, David M, Küpker W. Soziokulturelle Aspekte und Frauengesundheit. Gynäkologische Endokrinologie 2018. [DOI: 10.1007/s10304-017-0168-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Weblus AJ, Kentenich H. Trans* und Kinderwunsch: (wie) geht denn das? Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1622764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Jank A, Werling M, Sibold C, Kentenich H. Kinderwunsch nach dem 40. Lebensjahr – eine retrospektive Analyse des Fertility Center Berlin. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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5
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Plauen IV, Kentenich H, Tandler-Schneider A, Siemann A, Stief G. Subjektive Bilder der Frauen zu ihrem „Kind“ bei der IVF. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Siedentopf F, Wowro E, Möckel M, Kentenich H, David M. Patients Presenting to the Emergency Unit with Gynaecological Lower Abdominal Pain, with and without Pathological Clinical Findings - Service Utilisation, Pain History, Implications. Geburtshilfe Frauenheilkd 2016; 76:952-959. [PMID: 27681519 DOI: 10.1055/s-0042-104929] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
Introduction: Few studies have evaluated the utilisation of emergency gynaecological services, although lower abdominal pain (LAP) is one of the most common symptoms prompting emergency presentation. Although such pain may be caused by potentially life-threatening gynaecological diseases, very often no clinical cause is found. The aim of this study was to describe the characteristics of emergency presentations in order to enable quicker identification of real emergencies in routine clinical practice. Materials and Methods: Standardised, so-called first aid cards of 1066 consecutive patients with LAP presenting acutely to one emergency unit were analysed in this retrospective, cross-sectional study. Results: Over one third of cases did not constitute actual medical emergencies on objective criteria, with investigations yielding "no pathological findings". Parameters were identified that more often lead to hospital admission, e.g. palpation of a mass/resistance or at least one pathological ultrasound finding. In addition, it was found that symptoms of longer duration (average 8 days), and not only acute LAP, were also often experienced by patients as emergencies. Conclusion: A diagnosis of "no pathological findings", which was common in our study, suggests a subjective experience of an emergency from the patient's point of view, although the possibility of unrecognised pathology has to be borne in mind. Apart from functional disorders, the origins of symptoms may include psychosomatic causes and psychosocial problems, which cannot be further defined in the emergency care setting. Also, the phenomenon of increased utilisation of emergency services parallel to the assumed opening hours of routine outpatient care facilities must be seen in a critical light.
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Affiliation(s)
| | - E Wowro
- Vivantes, Auguste-Viktoria-Klinikum, Klinik für Neurologie, Berlin
| | - M Möckel
- Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum und Campus Mitte, Arbeitsbereich Notfallmedizin/Rettungsstellen mit Aufnahmestationen und CPUs, Berlin
| | | | - M David
- Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum, Klinik für Gynäkologie, Berlin
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Mattig K, Ebert A, Kentenich H, David M. Medizinhistorische Therapievorstellungen. Historische Entwicklungen in den Ursachentheorien zur Hyperemesis gravidarum – eine Literaturübersicht für die Jahre 1870–1970. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0042-111670] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Affiliation(s)
- K. Mattig
- Klinikum Frankfurt (Oder) GmbH, Klinik für Traumatologie, Orthopädie und Handchirurgie, Frankfurt (Oder)
| | - A. Ebert
- Praxis für Frauengesundheit, Gynäkologie und Geburtshilfe, Berlin
| | | | - M. David
- Charité – Universitätsmedizin Berlin, Klinik für Gynäkologie, Campus Virchow-Klinikum, Berlin
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Jank A, Werling M, Sibold C, Kentenich H. Kinderwunsch nach dem 40. Lebensjahr – eine retrospektive Analyse des Fertility Center Berlin. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1583556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Kentenich H. Social freezing: reproduktionsmedizinische, psychische, ethische und juristische Aspekte. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1571410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Plauen IV, Kentenich H, Tandler-Schneider A, Stief G, Siemann A. Subjektive Bilder der Frauen zu ihrem „Kinde“ bei der IVF. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1571377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Schick M, Rösner S, Toth B, Strowitzki T, Jank A, Kentenich H, Thöne C, Wischmann T. Effects of medical causes, role concepts and treatment stages on quality of life in involuntary childless men. Andrologia 2016; 48:849-854. [DOI: 10.1111/and.12519] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/29/2015] [Indexed: 11/29/2022] Open
Affiliation(s)
- M. Schick
- Institute of Medical Psychology; Centre for Psychosocial Medicine; Heidelberg University Hospital; Heidelberg Germany
| | - S. Rösner
- Department of Gynaecological Endocrinology and Reproductive Medicine; Women's Hospital; University of Heidelberg; Heidelberg Germany
| | - B. Toth
- Department of Gynaecological Endocrinology and Reproductive Medicine; Women's Hospital; University of Heidelberg; Heidelberg Germany
| | - T. Strowitzki
- Department of Gynaecological Endocrinology and Reproductive Medicine; Women's Hospital; University of Heidelberg; Heidelberg Germany
| | - A. Jank
- Fertility Center Berlin; Berlin Germany
| | | | - C. Thöne
- Heidelberg Fertility Clinic; Heidelberg Germany
| | - T. Wischmann
- Institute of Medical Psychology; Centre for Psychosocial Medicine; Heidelberg University Hospital; Heidelberg Germany
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Wallwiener D, Beckmann M, Kentenich H. 209. Stellungnahme. Berlin, 10. Februar 2015: Stellungnahme zu den Begleitinformationen „Überblick – Fruchtbarkeitsstörungen“ sowie „Künstliche Befruchtung bei schlechter Samenqualität: ICSI oder IVF?“. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1546094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Kentenich H, Dorn C, Buchholz T, Hilland U, Diedrich K. Umsetzung der PID-Verordnung in Deutschland. Gynäkologische Endokrinologie 2015. [DOI: 10.1007/s10304-015-0695-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Krüssel JS, Kentenich H. Additive Therapie in der Reproduktionsmedizin. Gynäkologische Endokrinologie 2014. [DOI: 10.1007/s10304-013-0601-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Werling M, Jank A, Tandler-Schneider A, Sibold C, Kentenich H. Kinderwunschbehandlung bei HIV-Infektion. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1387953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Wischmann T, Schilling K, Toth B, Rösner S, Strowitzki T, Wohlfarth K, Kentenich H. Sexuality, Self-Esteem and Partnership Quality in Infertile Women and Men. Geburtshilfe Frauenheilkd 2014; 74:759-763. [PMID: 25221344 DOI: 10.1055/s-0034-1368461] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2014] [Revised: 04/17/2014] [Accepted: 04/23/2014] [Indexed: 10/24/2022] Open
Abstract
Introduction: Infertile couples often report quality-of-life impairments, especially in terms of sexuality, self-esteem and partnership quality. So far, there have been no systematic studies of the sex lives and behaviour of infertile women and men before and after the emergence of their mutual desire for a child. Materials and Methods: From February 2010 to August 2010 all couples starting treatment either at Heidelberg University's Women's Hospital or at the Fertility Center Berlin were asked to fill out the Self-Esteem and Relationship Questionnaire (SEAR). A total of n = 158 women and n = 153 men participated in the study. Results: Decreasing tendencies were observable for both partners in the domains Sexual Relationship Satisfaction and Confidence and in the subscales Self-Esteem and Overall Relationship Satisfaction. There were especially clear indications of a loss of spontaneous sexuality during the experience of infertility. We were also able to establish that infertility has a negative impact on women's self-esteem. Discussion: The results of this study indicate that SEAR can be used as a feasible instrument for identifying infertile women and men whose infertility has a negative effect on their relationship quality and/or sex lives.
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Affiliation(s)
- T Wischmann
- Institute of Medical Psychology, University Hospital Heidelberg, Heidelberg
| | - K Schilling
- Institute of Medical Psychology, University Hospital Heidelberg, Heidelberg
| | - B Toth
- Gynaecological Endocrinology and Reproductive Medicine, Heidelberg University Women's Hospital, Heidelberg
| | - S Rösner
- Gynaecological Endocrinology and Reproductive Medicine, Heidelberg University Women's Hospital, Heidelberg
| | - T Strowitzki
- Gynaecological Endocrinology and Reproductive Medicine, Heidelberg University Women's Hospital, Heidelberg
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Kentenich H, Sibold C, Tandler-Schneider A. [In vitro fertilization and intracytoplasmic sperm injection: current medical aspects]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2013; 56:1653-61. [PMID: 24337127 DOI: 10.1007/s00103-013-1853-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Since the delivery of the first baby conceived via in vitro fertilization (IVF) in 1978, IVF has become a standard procedure in sterility treatment. In Germany, 78,000 IVF/intracytoplasmic sperm injection (ICSI) cycles are performed annually with a delivery rate per embryo transfer of about 20 %. The cumulative delivery rate after three trials is more than 50 %. The main medical problems are the high rates of multiple pregnancies of more than 20 %, which carry an increased risk for mothers (preeclampsia) and children (preterm delivery, lung immaturity, brain problems). Also singleton babies after IVF are more often too small (small for gestational age, SGA) and delivered preterm. As a result, proper counselling is necessary. New laboratory methods have increased the success rate. Cryopreservation techniques such as vitrification are standard for freezing oocytes, pronuclear-stage oocytes and embryos if they are not needed during the current treatment cycle. Continuous observation of embryos by time-lapse imaging helps to identify the best embryos for transfer. The current legislation in the German embryo protection act (Embryonenschutzgesetz) is the main problem. It is unclear how many fertilized oocytes can be cultured to achieve a transfer of one to three embryos. The prohibition of oocyte donation and surrogacy are not comprehensible from a medical, psychological, and ethical point of view. Reimbursement of publicly insured patients is restricted in comparison with other European countries. Married couples receive half of the payment for three IVF/ICSI cycles; non-married couples receive no payment at all.
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Affiliation(s)
- H Kentenich
- Fertility Center Berlin, Spandauer Damm 130, 14050, Berlin, Deutschland,
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Siedentopf F, Utz-Billing I, Gairing S, Schoenegg W, Kentenich H, Kollak I. Yoga for Patients with Early Breast Cancer and its Impact on Quality of Life - a Randomized Controlled Trial. Geburtshilfe Frauenheilkd 2013; 73:311-317. [PMID: 24771916 DOI: 10.1055/s-0032-1328438] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2013] [Revised: 03/15/2013] [Accepted: 03/15/2013] [Indexed: 01/17/2023] Open
Abstract
The aim of this prospective, randomized, controlled trial was to investigate the impact of yoga on newly diagnosed patients with early breast cancer in the immediate postoperative phase. 93 women newly diagnosed with early breast cancer were randomized into an intervention group (IG) and a control group (waiting group, WG). The IG started yoga immediately after the operation. The WG started yoga 5 weeks after surgery. Both groups attended yoga classes twice weekly for 5 weeks. Quality of life (QoL) was evaluated using the EORTC QLQ-C30 and EORTC QLQ-BR23 questionnaires before the intervention, immediately after the operation and after 3 months. After 3 months the patients were asked whether yoga improved their physical activity and whether they wished to continue with yoga. The overall QoL (p = 0.002) and the functional status (p = 0.005) increased significantly in the IG, while physical symptoms decreased over time in both groups. 86 % of patients in the IG and only 59 % of patients in the WG (p = 0.04) confirmed a positive change in their physical activity through yoga. More women in the IG intended to continue with yoga (p = 0.03). Early initiation of yoga as a supportive treatment in cancer had a positive impact on QoL. Teaching yoga allowed patients to practice yoga by themselves, enhanced the patients' QoL and was found to improve physical activity.
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Affiliation(s)
- F Siedentopf
- Klinik für Gynäkologie und Geburtshilfe, Martin-Luther-Krankenhaus, Berlin
| | - I Utz-Billing
- Frauenklinik DRK-Kliniken Berlin, Standort Westend, Berlin
| | - S Gairing
- Frauenklinik DRK-Kliniken Berlin, Standort Westend, Berlin
| | - W Schoenegg
- Klinik für Gynäkologie und Geburtshilfe, Martin-Luther-Krankenhaus, Berlin
| | | | - I Kollak
- Alice-Salomon-Fachhochschule, Berlin
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Werling M, Tandler-Schneider A, Siemann A, Stief G, Kentenich H. Cryoconservation of Oocytes in a Patient with Breast Cancer and Intrauterine Early Pregnancy. Geburtshilfe Frauenheilkd 2012; 72:1029-1032. [PMID: 25258460 DOI: 10.1055/s-0032-1315244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2012] [Revised: 06/06/2012] [Accepted: 07/09/2012] [Indexed: 10/27/2022] Open
Abstract
Case Report: A 38-year-old patient newly diagnosed with invasive ductal breast cancer wished to cryoconserve her unfertilised oocytes. Stimulation was started on the 26th day of her menstrual cycle with daily administration of 300 IE hMG s. c. and a GnRH antagonist (cetrorelix 0.25 mg s. c.). The patient additionally received an aromatase inhibitor during the first 5 days of stimulation (letrozole 5 mg p. o.). Induction of ovulation occurred on the 11th day of stimulation with hCG (10 000 IE s. c.) and a GnRH agonist (triptorelin 0.2 mg s. c.). Seventeen oocytes were retrieved during follicle puncture and 11 were cryopreserved. Despite the administration of cetrotide (a GnRH antagonist) no luteolysis occurred during stimulation. A pregnancy test was therefore done on the 11th day of stimulation and the result was positive (β-HCG 3493 mIU/ml). Sonography showed an intrauterine pregnancy. The patient was in gestational week 5 + 0. The aspirated oocytes mostly showed a normal morphology (metaphase II) despite high progesterone levels during stimulation. The patient decided to terminate the pregnancy before starting adjuvant chemotherapy. Conclusion: We describe the case of a patient who underwent stimulation for cryopreservation of oocytes during a spontaneous pregnancy conceived in the same cycle just before starting stimulation. Stimulation was done over a short period using a combination of a GnRH antagonist and an aromatase inhibitor to ensure the lowest possible estradiol levels. The quality of the oocytes does not appear to have been negatively affected by the high progesterone levels of early pregnancy.
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Affiliation(s)
| | | | | | - G Stief
- Fertility Centre Berlin, Berlin
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Haica C, Melo C, Gameiro S, Canavarro MC, Boivin J, Camus M, De Brucker M, Haentjens P, Verheyen G, Collins J, De Brucker M, Camus M, Haentjens P, Verheyen G, Collins J, Tournaye H, Sart Z, Belen S, Ertuzun I, Borkan B, Koksal F, Jiskoot LG, de Niet JE, van Busschbach JJ, van Stigt VWHC, van Egmond AME, Verbiest ACM, Nugteren S, de Klerk C, Laven JSE, Galhardo A, Cunha M, Pinto-Gouveia J, Ludwig O, Ludwig S, Kentenich H, Kadota T, Terada S, Yoshioka N, Habara T, Hayashi N, Jung JH, Won MY, Shin YK, Kang YJ, Lee DH, Kim JW, Yang SH, Lim JH, Aarts J, van Oers AM, Faber MJ, Nelen WL, van Dulmen AM, Kremer JAM, EL Gelany S, Khalifa H, Nehir A, Cali H, Yuksel B, Gungor Ugurlucan F, Bastu E, Ergun B. PSYCHOLOGY AND COUNSELLING. Hum Reprod 2012. [DOI: 10.1093/humrep/27.s2.85] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Abstract
In the 1960s and 70s, Germany played a leading role in the field of gynaecological endocrinology, which was reflected by the scientific activity of German universities during this period. More recently, however, a dramatic change occurred, resulting in a decreasing number of publications in this field. This has undoubtedly contributed to the marginal scientific position of Germany in gynaecological endocrinology today. This change is reflected by the decreasing number of university centres carrying out active scientific research in the fields of gynaecological endocrinology, reproductive medicine and andrology. Universities now lack mid- and upper-level faculty staff, as interesting and senior positions in the field of reproductive medicine, andrology and reproductive medicine no longer exist. Moreover, in 1991 the German embryo protection law came into force, which severely curtailed scientific research and blocked scientific efforts in this area. German scientists and, of course, childless couples were cut off from scientific advances, e.g. the possibility of single embryo transfer. Germany's scientific position in the fields of gynaecological endocrinology, reproductive medicine and andrology needs to be strengthened. The creation of appropriate structures in German universities is therefore necessary. These would include important cooperations with private medical practices, which currently account for about 75 % of patient care. The lines of communication between the groups representing reproductive medicine in Germany need to be greatly improved. Moreover, we suggest that an important step would be the development of a general human embryology and fertilisation act which would allow German couples to benefit from the global advances in the field of reproductive technology. Germany must stop its policy of scientific obstruction and permit scientific progress in this field in German universities.
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Affiliation(s)
- K Diedrich
- Clinic for Gynaecology and Obstetrics, Lübeck
| | | | - H Kentenich
- Clinic for Gynaecology and Obstetrics, Lübeck
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Stupin JH, Rothmann K, Kentenich H, Utz-Billing I, David M. [Correlation between sonographic findings and level of knowledge/self-report of symptoms in women with uterine leiomyomata]. Ultraschall Med 2011; 32 Suppl 2:E86-E91. [PMID: 21877314 DOI: 10.1055/s-0031-1273470] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
PURPOSE Is there any correlation between the pre-therapeutic level of knowledge concerning the number/size of leiomyomata or self-reported symptoms and confirmation by sonography? How does the assumption of the number/size of leiomyomata influence the self-perception of symptoms? MATERIALS AND METHODS In an anonymous questionnaire 498 patients were asked about the number, size and symptoms induced by leiomyomata using a visual chart from 0 - 10. The data were correlated with findings from transvaginal and abdominal ultrasound. RESULTS The self-reported number of leiomyomata corresponded with the sonographic findings in 80 % of patients with 1 leiomyoma and in 54 % of patients with 2 or 3 leiomyomata, while the self-reported size only corresponded with the sonographic findings in 20 % to 70 % of patients. There was no correlation between the number of leiomymata confirmed by sonography and self-reported symptoms. There are significant correlations between the sonography-defined size and self-reported level of dysmenorrhea (p = 0.003) and self-reported pressure in the abdomen (p = 0.02), as well as submucosal leiomyomata and hypermenorrhea (p = 0.01). Patients who assumed multiple or large leiomyomata ≥ 10 cm reported strong pressure on the bladder or pressure in the abdomen significantly more frequently than patients who assumed 1 leiomyoma (p = 0.03) or a leiomyoma less than 10 cm (p = 0.018). CONCLUSION There is a discrepancy between the relatively good knowledge about the number of leiomyomata and the lack of knowledge about their size. Subjective incorrect presumptions concerning the number or size of leiomymata can result in different disorders. Therefore, they should not be the exclusive indication for further operative interventions.
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Affiliation(s)
- J H Stupin
- Klinik für Gynäkologie, Charité - Universitätsmedizin Berlin.
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Siedentopf F, Rauchfuß M, Kentenich H, Lattrich C. Diskussion zu Geburtsh Frauenheilk 2011; 71: 312–313 und 550–551. Ist eine Weiterbildung „Psychosomatische Grundversorgung in der Frauenheilkunde“ zwingend notwendig? Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0031-1280355] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022] Open
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Siedentopf F, Rauchfuß M, Kentenich H. Allgemeine Gynäkologie. Ist eine Weiterbildung „Psychosomatische Grundversorgung in der Frauenheilkunde“ zwingend notwendig? Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0030-1271172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Daly I, Lampic C, Skoog Svanberg A, Sydsjo G, Fryk N, Shyshak O, Donarelli Z, Lo Coco G, Gullo S, Marino A, Volpes A, Allegra A, Hinton L, Kurinczuk JJ, Ziebland S, Frederiksen Y, Zachariae R, Schmidt L, Ingerslev HJ, Vercammen L, Stoop D, De Vos M, Polyzos NP, Nekkebroeck J, Devroey P, Graham S, Jadva V, Morrissette M, Golombok S, Hamilton J, Behan H, Venables R, Maher B, Moorhead C, Hughes C, Mocanu E, Smeenk JMJ, Verhaak CM, Valladolid N, Guijarro JA, Brod M, Simone Crespi MPH, Hein Fennema P, Jadva V, Blake L, Readings J, Casey P, Golombok S, Jordan C, Broderick P, Winter C, Belva F, Nekkebroeck J, Bondulle M, Van den Broeck U, Vandermeeren M, Vanderschueren D, Enzlin P, Demyttenaere K, D'Hooghe TM, Harrison C, Bunting L, Tsibulsky I, Boivin J, Overbeek A, van den Berg MH, Louwe L, Hilders C, Veening MA, Lambalk CB, Stiggelbout AM, van Dulmen-den Broeder E, Ter Kuile MM, Indekeu A, D'Hooghe T, De Sutter P, Demyttenaere K, Vanderschueren D, Vanderschot B, Welkenhuysen M, Rober P, Colpin H, Riedel P, Baeckert-Sifedine IT, Iversen C. V, Ludwig O, Ludwig S, Kentenich H, Skoog Svanberg A, Lampic C, Brandstrom S, Geijervall AL, Gudmundsson J, Karlstrom PO, Solensten NG, Sydsjo G, Van Dongen AJCM, Kremer JAM, Van Sluisveld PHJ, Verhaak CM, Nelen WLDM, Galhardo A, Cunha M, Pinto-Gouveia J, Huppelschoten DA, Aarts JWM, van Empel IWH, Nelen WL, Kremer JAM, Ockhuysen H, Boivin J, Hoogen A, Macklon NS, Aarts A, van den Haak P, Nelen W, Tuil W, Faber M, Kremer J, Bak CW, Seok HH, Song SH, Yoo SW, Lee WS, Yoon TK. POSTER VIEWING SESSION - PSYCHOLOGY AND COUNSELLING. Hum Reprod 2011. [DOI: 10.1093/humrep/26.s1.87] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Werling M, Wohlfahrt K, Stief G, Siemann A, Tandler-Schneider A, Kentenich H. Gewinnung von Eizellen zur Kryokonservierung beim Mammakarzinom vor Chemotherapie bei gleichzeitig bestehender intrauteriner Schwangerschaft. Geburtshilfe Frauenheilkd 2010. [DOI: 10.1055/s-0030-1269967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Ehrich K, Farsides B, Williams C, Braude P, Scott R, Avery S, Franklin S, Wainwright S, Koch L, Poulain M, Hesters L, Blin V, Fanchin R, Frydman N, Armbrust R, Siemann A, Tandler-Schneider A, Sibold C, Stief G, Montag U, Borkenhagen A, Kentenich H, Rauprich O, Berns E, Vollmann J, El Gelany S, Abdel-Megeed A, Khalifa H, Levi Setti PE, Albani E, Cesana A, Novara P, Baggiani AM, Zannoni E, Morenghi E, Arfuso V, Scaravelli G, Frith L, Blyth E. Session 59: Ethics & Law. Hum Reprod 2010. [DOI: 10.1093/humrep/de.25.s1.59] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Tierling S, Souren NY, Reither S, Neitzel H, Gillessen-Kaesbach G, Kentenich H, Griesinger G, Meng-Hentschel J, Leitner D, Oehl-Jaschkowitz B, Walter J. Epigenetik und molekulare Mechanismen der Fehlregulation von Genen. Klin Padiatr 2010. [DOI: 10.1055/s-0030-1261386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Diedrich K, Strowitzki T, Kentenich H. Positionspapier – Stand der Reproduktionsmedizin in Deutschland. Geburtshilfe Frauenheilkd 2010. [DOI: 10.1055/s-0029-1186138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Armbrust R, Kentenich H, Sibold C, Montag U, Berth H, Albani C, Dinkel A, Borkenhagen A. Einstellungen von Kinderwunschpaaren zum Umgang mit kryokonservierten Embryonen und Eizellen im Vorkernstadium – Übersichtsarbeit. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1186012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Tariverdian N, Siedentopf F, Rücke M, Blois S, Klapp B, Kentenich H, Arck P. Intraperitoneal immune cell status in infertile women with and without endometriosis. J Reprod Immunol 2009; 80:80-90. [DOI: 10.1016/j.jri.2008.12.005] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2008] [Revised: 12/03/2008] [Accepted: 12/05/2008] [Indexed: 12/22/2022]
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Borkenhagen A, Brähler E, Kentenich H. „Kosmetische Labienreduktion“– Forschungsstand zum psychologischen, ästhetischen und funktionellen Outcome und Empfehlungen zu einer wissenschaftlich begründeten Indikationsstellung. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1208313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Stupin J, Utz-Billing I, Kentenich H, David M. Prätherapeutische Ängste, Erwartungen, Wünsche und Informiertheit von Frauen mit Uterus myomatosus – Vergleich von Befragungsergebnissen 2002 versus 2008. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1208300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Borkenhagen A, Kentenich H. Labienreduktion – Neuester Trend der kosmetischen Genitalkorrektur – Übersichtsarbeit. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-2008-1039241] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Wöckel A, Abou-Dakn M, Kentenich H, David M. Väter im Kreißsaal – ein kritischer Überblick zum Stand der Forschung. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-2008-1039172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Abstract
This article gives an overview over the huge topic of 'female genital mutilation' (FGM). FGM means non-therapeutic, partial or complete removal or injury of each of the external female genitals. It concerns about 130 million women around the world. FGM is performed in about 30 countries, most of which are located in Africa. Four types of FGM are distinguished: type I stands for the removal of the clitoral foreskin, type II means the removal of the clitoris with partial or total excision of the labia minora. Type III is the extreme type of FGM. Not only the clitoris but also the labia minora and majora were removed. The orificium vaginae is sewn up, leaving only a small opening for urine or menstruation blood. Other types like pricking, piercing of clitoris or vulva, scraping of the vagina, etc. were defined as type IV of FGM. The mentioned reasons for FGM are: encouragement of the patriarchal family system, method for birth control, guarantee of moral behaviour and faithfulness to the husband, protection of women from suspicions and disgrace, initiation ritual, symbol of feminity and beauty, hygienic, health and economic advantages. Acute physical consequences of FGM include bleeding, wound infections, sepsis, shock, micturition problems and fractures. Chronic physical problems like anemia, infections of the urinary tract, incontinence, infertility, pain, menstruation problems and dyspareunia are frequent. Women also have a higher risk for HIV infections. During pregnancy and delivery, examinations and vaginal application of medicine are more difficult. Women have a higher risk for a prolonged delivery, wound infections, a postpartum blood loss of more than 500 mL, perineal tears, a resuscitation of the infant and an inpatient perinatal death. Mental consequences after FGM include the feelings of incompleteness, fear, inferiority and suppression. Women report chronic irritability and nightmares. They have a higher risk for psychiatric and psychosomatic diseases. FGM carried out by doctors, nurses or midwives is also called medicalisation of FGM and is definitely unacceptable. Regarding human rights, FGM refuses women the right of freedom from bodily harm. Specific laws that ban FGM exist in many countries in Europe, Africa, USA, Canada, New Zealand and Australia.
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Affiliation(s)
- I Utz-Billing
- Department of Gynaecology and Obstetrics, DRK-Hospital Westend, Berlin, Germany.
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Jochum F, Schmidt B, Schunk K, Hesse V, Distler B, Laske G, V Moers A, Dombrowsky M, Elling D, Kentenich H, Mendling W, Untch M, Grüning T, Abou-Dakn M. Quality of care of VLBW neonates: relationship between unit volume and outcome is different between metropolitan and rural regions. Acta Paediatr 2008; 97:1470-4. [PMID: 18662233 DOI: 10.1111/j.1651-2227.2008.00934.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Recent studies from predominantly rural areas in Germany show that neonatal outcome of very low birth weight (VLBW) neonates is (on average) inferior with lower NICU (neonatal intensive care unit) volume. However, there are no data available which show that study results of one specific region can be transferred to other areas with possibly different medical infrastructure and needs. AIM It was investigated whether a systematic difference of treatment quality between smaller (1000-2000 births/year; < or =20 neonatal beds) vs. larger neonatal centres in Berlin (>3000 births/year; >20 neonatal beds) exists. Furthermore, the results are compared to data from a rural region in order to discuss transferability between regions. METHODS Retrospectively, completely, and for the first time, the data of all centres which treat VLBW neonates (< or =1500 g birth weight) in the city-state of Berlin, Germany, from the years 2003/2004 were reviewed. RESULTS Our study showed no difference in the treatment quality of smaller vs. larger neonatal units in Berlin. This result differs from those of a study in Baden-Württemberg, a predominantly rural state, with different medical infrastructure than Berlin. CONCLUSION The present study suggests that regional investigations on the infrastructure vs. treatment outcome are not transferable between areas. Patient volume/unit appears inadequate for predicting the future treatment quality of neonatal departments. Direct quality indicators are stable for the assessed departments and should be preferably used to organize medical infrastructure.
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Affiliation(s)
- F Jochum
- Department of Neonatology and Pediatric Intensive Care, Ernst-Moritz-Arndt University, Greifswald, Germany.
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Rosemeyer M, Utz-Billing I, Friebe S, Kentenich H. Kaiserschnitt auf Wunsch: Was kann psychologische Beratung bewirken? Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-0028-1088942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Borkenhagen A, Kentenich H. Die Verbesserung des weiblichen Lustempfindens mittels kosmetischer Chirurgie – Diskussion der Indikation anhand der Ergebnisse einer Medienanalyse und einer Fallvignette. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-0028-1089209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Armbrust R, Borkenhagen A, Montag U, Sibold C, Kentenich H. Einstellungen von Kinderwunschpatientinnen zu kryokonservierten Eizellen im Vorkernstadium (EVS) und Embryonen. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-0028-1089025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Heeger J, Heesch C, Sibold C, Ehle C, Kuhlmann K, Kentenich H. Akupunktur beim Embryotransfer: Embryoqualität ist wichtiger als die Akupunktur. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-0028-1089322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Stupin JH, Utz-Billing I, Kentenich H, David M. Korrelation der Selbsteinschätzung von Symptomen mit Untersuchungsergebnissen von Frauen mit Uterus myomatosus. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-0028-1088999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Siedentopf F, Nagel M, Weidner K, Kentenich H. Body Image and the Decision-Making Process in Breast Cancer Patients. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-2008-1038723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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David M, Pette G, Kentenich H. Unterschiedliche Inanspruchnahme einer gynäkologischen Notfallambulanz durch deutsche Patientinnen und Migrantinnen. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-2007-1022466] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Tandler-Schneider A, Sonnenberg-Schwan U, Kentenich H. Diagnostik und Behandlung HIV-betroffener Paare mit Kinderwunsch. Gynäkologische Endokrinologie 2008. [DOI: 10.1007/s10304-008-0249-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Kentenich H. Moralischer Status des Präimplantationsembryos. Gynäkologische Endokrinologie 2007. [DOI: 10.1007/s10304-007-0205-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
BACKGROUND In Germany, embryo screening programmes combined with elective embryo transfer are illegal, but there is controversial debate about their legalization. Studies about the attitudes of infertile couples towards multiples, elective embryo transfer and multifetal reduction may help to illuminate how this law shapes patient choices. METHODS A survey of 265 German infertile couples was conducted. Different logistic regression analyses were performed to assess independent factors associated with the parity for multiple births, approval for elective embryo transfer and multifetal reduction. RESULTS Despite prior information about the risk of multiple births, 81% of respondents saw no risk in twin pregnancies and a sizable minority saw no risk even in triplet pregnancies. Eighty-nine percent of the respondents rated a twin pregnancy as desirable, whereas 35% rated a triplet birth as desirable. When presented with a choice of having multiple births versus having no biological children, 99% of the respondents endorsed twins, 84% triplets and 58% quadruplets. Seventy-four percent of the respondents approve of legalizing embryo screening programmes to select a good-quality embryo combined with elective embryo transfer. Ninety-two percent of the respondents rejected fetal reduction of twins. CONCLUSIONS German infertile couples might conceivably be more willing to accept elective embryo transfer if screening for viable embryos was permitted.
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Affiliation(s)
- A Borkenhagen
- Department of Medical Psychology and Medical Sociology, University of Leipzig Philipp-Rosenthal Street 55, Leipzig, Germany.
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