Assisted reproduction raises significant issues for individuals families and Communities. It can influence by a wide range of scientific cultural religious ethical and professional factors. Some may regard assisted reproduction as standard medical and nursing practice that should be available with minimal constraints in the interest of scientific progress and out of respect for an individual's or a couple’s reproductive choices. Others in contrast may regard it as ethically problematic raising a number of issues and dilemmas that challenge humanity’s core values putting the needs and wants of the intended parent(s) above those of the potential child. This guideline review the effect of assisted reproductive technology (ART) on perinatal outcomes provide guidelines to optimize obstetrical management and counselling to women who using ART and discusses the adverse outcomes that have been recorded in association with ART including obstetrical complications adverse perinatal outcomes and multiple gestations.
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