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The most profound dilemma in assisted reproduction to date is the
inability to recognize potentially viable embryos before their
replacement into the reproductive tract. Application of
increasingly advanced new technology has allowed the field of
embryo evaluation to evolve rapidly and dramatically over the past
five years.
Human Preimplantation Embryo Selection assembles the leaders in the
field of assisted reproduction to discuss their visions of dealing
with the topic of embryo selection in the light of the limitations
involving the fragility of the early human embryo.
The purpose of this book is to shed light on the ever-expanding
techniques that are being employed and evaluated with regard to
embryo selection. A comprehensive overview may guide the ART
practitioner in choice of techniques and evaluation of benefits and
drawbacks.
This book will provide an up-to-date overview and reference source:
an invaluable tool for assisted reproductive practice worldwide.
ART treatment is vulnerable to the hazard of potential infection
from many different sources: patients, samples, staff and the
environment. Culture of gametes and embryos in vitro provides
multiple targets for transmission of potential infection, including
the developing embryo, neighbouring gametes and embryos, the couple
undergoing treatment and other couples being treated during the
same period. This unique situation, with multifaceted opportunities
for microbial growth and transmission, makes infection and
contamination control absolutely crucial in the practice of
assisted reproduction, and in the laboratory in particular.
Originally published in 2004, this practical book provides a basic
overview of microbiology in the context of ART, providing a guide
to infections in reproductive medicine. The relevant facets of the
complex and vast field of microbiology are condensed and focused,
highlighting information that is crucial for safe practice in both
clinical and laboratory aspects of ART.
This extensively updated new edition provides an indispensable
account of modern in-vitro fertilization practice, building upon
the popularity of previous editions. The authors initially give a
comprehensive review of the biology of human gametes and embryos,
before outlining basic to advanced IVF techniques. New developments
in practical techniques and understanding are discussed, including
in-vitro maturation, vitrification, preservation of fertility for
cancer patients, stem cell technology, preimplantation genetic
testing, and the role of epigenetics and imprinting. The revised
introduction also incorporates a 'refresher' study review of
fundamental principles of cell and molecular biology, now updated
with current knowledge of meiosis in human oocytes, embryo
metabolism and basic principles of genome editing. With
high-quality illustrations and extensive, up-to-date reading lists,
it is a must-have textbook for trainee and practising
embryologists, as well as clinicians who are interested in the
scientific principles that underpin successful IVF.
Maintaining consistent and reliably high success rates is a daily
challenge for every IVF laboratory. This step-by-step guide is an
essential aid in navigating the complex maze of physical, chemical,
biological, and logistic parameters that underpin successful gamete
and embryo culture: temperature, pH, osmolality, gas supplies, air
quality, light exposure, infections, managing supplies, personnel,
as well as overall quality control. Numerous real-life
troubleshooting case reports are presented, identifying all aspects
necessary for troubleshooting. Process maps and flow charts
accompanying each chapter offer a logical and systematic approach
to problem solving in the laboratory. This is an essential resource
for scientists in assisted reproductive technology and specialists
in reproductive biology and medicine, helping IVF clinics to
achieve the dream of every infertile couple: the birth of a healthy
child.
The assessment and selection of oocytes and embryos is fundamental
to the live birth rate data of all IVF units, the parameter that is
used to gauge a clinic's success and credibility. This new atlas
contains over 1000 high-quality images of oocytes, zygotes and
embryos, presented with accompanying data on indications for
treatment, stimulation type and duration, as well as short medical
histories of each couple and final outcome of treatment. All images
in the book can be downloaded from the accompanying CD-ROM.
Structured on a patient-by-patient basis, the atlas describes 100
clinically documented case studies that follow the evolution of
oocytes and zygotes between day two and day five. Pronuclear
morphology and synchrony as well as embryo morphology are reported
and described for each case. Written and produced by experienced
embryologists, this practical atlas is an important resource for
clinical embryologists and physicians in reproductive medicine.
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