Prioritising for fertility treatments—the effect of excluding women with a high body mass index

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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/m2. Treatments and outcomes were analysed from 1280 cases referred from 1998 to May 2005. Sixteen percent of women had a BMI of >32 kg/m2. 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/m2. Weight loss allowed women in the BMI group >32<35 kg/m2 to access treatment, but women in higher BMI groups were less successful.

Keywords: BMI; IVF; fertility; obesity; prioritisation

Document Type: Short Communication

DOI: http://dx.doi.org/10.1111/j.1471-0528.2006.00995.x

Affiliations: 1: Department of Obstetrics and Gynaecology, University of Otago, Dunedin, New Zealand 2: Fertility Plus, Auckland District Health Board and Department of Obstetrics and Gynaecology, University of Auckland, Auckland, New Zealand

Publication date: October 1, 2006

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