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This book deals with all recent advances in clinical and laboratory aspects of assisted reproductive therapy (ART). It elaborates on innovations and developments in the field that have the potential to improve ART outcomes. Chapters cover such topics as newer techniques for evaluating sperm, DNA, and ovarian reserve, including proteomic analysis, sonoendocrinology, preparation and administration of platelet-rich plasma, and in vitro maturation. Authors also address the structure, function, and role of low molecular weight ligands of gonadotropins, as well as the ethical and legal aspects of ART.
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Depuis plus de trente ans, la PMA est devenue une des façons de concevoir des enfants. À partir de son expérience, l’auteure témoigne des questions inédites que pose l’élargissement de cette pratique en dehors du contexte d’infertilité. Quelle est la portée pour le couple et pour l’enfant ? Anne Joos de ter Beerst est psychanalyste. Elle a assuré dès le début (1989) les entretiens de demandes en PMA adressées au Centre médical de la reproduction à Charleroi en Belgique et a suivi de près l’évolution de ces demandes. A partir de cette expérience, elle s’interroge sur les modifications de discours qui traversent les familles contemporaines. En trente ans, la PMA est devenue une des façons de concevoir des enfants. Elle s’offre aujourd’hui à « tout auteur de projet parental » comme l’énonce la loi belge. Cette formulation neutre évacue les catégories du masculin/féminin et du singulier/pluriel, promeut une coparentalité égalitaire et l’idée de la famille démocratique. Dans ce dispositif nouveau la dissymétrie des places et des fonctions, et même des générations, semble ne plus pouvoir être questionnée. Pourtant, ce que la technique rend possible n’évacue pas la dimension de l’impossible. Irions-nous jusqu’à vouloir l’ignorer ? Au point méconnaitre l’altérité de la rencontre ? A l’écoute des nouveaux parents, l’auteur s’emploie à oser ce questionnement et à l’élaborer avec eux, en ne cédant pas sur l’altérité, pour les aider à se décoller du discours ambiant et du déni qu’il véhicule et à retrouver une parole singulière et un positionnement assumé.
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After five decades of intermittent attempts, the Nordic countries still have very different policies in the field of assisted reproduction. In the absence of a comprehensive policy design Finland has, by default, the most permissive regimen of ART practices in the Nordic region. Compared to the other Nordic countries, Norway has the strictest ART regulation in place. The ART policy design in Iceland and Denmark places those two countries in the intermediate category. While the policy design in the other Nordic countries has remained relatively constant, Sweden has through several re-designs moved from a rather restrictive policy design to a permissive one. What is the nature of these differences and how did they come about? This report examines the appropriation of assisted reproductive technologies in the Nordic countries at the level of policy-making. It traces the policy designing process in each country from governmental committees or working parties to parliamentary proceedings. It describes formative events and debates. In the end, the report identifies some of the factors that account for the divergence of ART policies among the Nordic countries. There are no simple explanations for the divergence in ART policies across the Nordic countries. By examining the policy design processes, this study has been able to identify a number of factors that have impacted the ART policy content in each Nordic country and thus underlie the diversity of policy designs. These factors have to do with the timing of decision-making, actor beliefs, the arena of policy-making, and a variety of issues connected to the broader context.
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This book deals with all recent advances in clinical and laboratory aspects of assisted reproductive therapy (ART). It elaborates on innovations and developments in the field that have the potential to improve ART outcomes. Chapters cover such topics as newer techniques for evaluating sperm, DNA, and ovarian reserve, including proteomic analysis, sonoendocrinology, preparation and administration of platelet-rich plasma, and in vitro maturation. Authors also address the structure, function, and role of low molecular weight ligands of gonadotropins, as well as the ethical and legal aspects of ART.
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This book deals with all recent advances in clinical and laboratory aspects of assisted reproductive therapy (ART). It elaborates on innovations and developments in the field that have the potential to improve ART outcomes. Chapters cover such topics as newer techniques for evaluating sperm, DNA, and ovarian reserve, including proteomic analysis, sonoendocrinology, preparation and administration of platelet-rich plasma, and in vitro maturation. Authors also address the structure, function, and role of low molecular weight ligands of gonadotropins, as well as the ethical and legal aspects of ART.
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