{
    "abstract": "Infertility, irrespective of receipt of fertility treatment, is associated with an increased risk of adverse pregnancy outcomes, including cesarean section (CS) and preterm birth (PTB). These complications are associated with significant physical, mental, emotional, social, and financial costs to individuals, healthcare systems, and society at large. Although multiple pregnancy is one of the most significant contributors to the elevated CS and PTB rates in women receiving fertility treatment, singleton pregnancy is also at an increased risk of these outcomes. Single embryo transfer policies through publicly funded in\u00a0vitro fertilization programs have demonstrated beneficial health outcomes and cost savings. Low-dose aspirin prophylaxis may be considered for PTB reduction in patients with infertility. Finally, upstream prevention strategies such as lifestyle modification and social policies to address the underlying needs for fertility treatment may also beneficially impact both CS and PTB rates.",
    "authors": [
        {
            "affiliation": "Queen's University, School of Medicine, Kingston, K7L 3L4, Canada.",
            "firstname": "Sydney",
            "initials": "S",
            "lastname": "Flatt"
        },
        {
            "affiliation": "Queen's University, Obstetrics and Gynecology, Kingston, K7L 2V7, Canada. Electronic address: maria.velez@queensu.ca.",
            "firstname": "Maria P",
            "initials": "MP",
            "lastname": "Velez"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2023 Elsevier Ltd. All rights reserved.",
    "doi": "10.1016/j.bpobgyn.2022.102304",
    "journal": "Best practice & research. Clinical obstetrics & gynaecology",
    "keywords": [
        "Assisted reproductive technology",
        "Cesarean section",
        "Cost analysis",
        "Infertility",
        "Preterm birth"
    ],
    "methods": null,
    "publication_date": "2023-01-22",
    "pubmed_id": "36681599",
    "results": null,
    "title": "The cost of preterm birth and cesarean section as a result of infertility and its treatment: A review.",
    "xml": "<Element 'PubmedArticle' at 0x788502e7ea20>"
}