Reply to Would you move to IVF after terminating for chromosomal abnormality (T13)?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]IVF has higher risk of ectopic and higher risk of C section.

I would make the decision based on whether or not I could manage another 2nd trimester termination. [/quote]

What’s the source for this? Correlation doesn’t imply causation. There are infertility factors (age, weight, infertility causes, other health or anatomical issies) that would make one more susceptible to ectopic pregnancies or c sections to begin with.[/quote]

DP.  There is a slight increased risk of ectopic pregnancy from embryo transfers (I learned this the hard way), but I've never heard of an increased risk of c section tied solely to IVF and excluding other risk factors.  
Anecdotal, small sample size, I know...but I was part of an infertility support group, with roughly 20 women who had gotten pregnant from IVF.  Most of us had vaginal deliveries.  The majority of those who had c sections had other risk factors (multiples, history of surgical removal of fibroids and endometriosis, etc).  There was one lady who had a c section due to failure to progress during induction, and one who had a breech baby. [/quote]
The increased C-section rate comes partially from moms tending to be older, but also partially because they want the baby out on the due date, which means more inductions. Also speaking from experience, conceived naturally, had a vaginal birth, followed by IVF pregnancy, failed induction, C-section with ongoing complications years later (80% due to medical negligence but that story would take 10 pages to explain). There is also an element of "precious baby" syndrome and women opting for elective Cs.  There's other risks, abnormal placentation, subchorionic hemorrhage, several others. The risk to the infant is not fully elucidated. There are some differences, like more asthma in IVF pregnancies, but it is hard to say how much of that is due to the actual IVF and how much is due to the older mom/infertility factor. Long story short, IVF pregnancies *are* more medically complicated.

Overall 1 in 3 pregnancies end in a C, 1 in 2 of IVF pregnancies do. I really wish there was better informed consent. I was not aware of any of this before I learned it the hard way. [/quote]

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