मुख्य पृष्ठ >> प्रदेश >> मध्यप्रदेश >> उज्जैन / भोपाल >> Reproductive Health Issues of Women Need A Different Approach.

Reproductive Health Issues of Women Need A Different Approach.

Ujjain 20.10.2019. Reproductive health is affected by a variety of socio-cultural and biological factors and the quality of the delivery system. Surveys have
shown how lack of knowledge among women on sex, contraception, pregnancy and abortion has been affecting their reproductive health .
On the other hand the success rate of artificial reproductive technology (ART) like IVF at 40 percent, this is today a $30 billion industry in India, with over 3,000 clinics across the country. However, due to a lack of appropriate legislation, there are frequent cases when clinics have overstepped ethical boundaries, said a expert.
Dr Naresh Purohit, Epidemiologist and Executive Member of the Indian Menopausal Society on the occasion of World Menopause Day presented his study titled”ART-A Dangerous Trend” at a national seminar on challenges in reproductive health management held at Symbiosis Institute Of Health Sciences, Pune today.
Dr Purohit informed Free Press after presenting his study that the IVF (In-vitro-fertilisation) boom in the country is because pregnancies are increasing at an advanced age due to late marriages, single parenthood and women opting to have children at a later age. The social stigma of being childless and lengthy adoption processes have increased the demand for ART procedures such as IVF, sperm donation & surrogacy.
Lead Author and Principal Investigator of the study Dr Purohit said that lack of regulation has led to a surge in commercialisation of IVF treatment and unethical practices. According to the Artificial Reproductive Technology Bill, 2017-a draft legislation which has yet to be passed by parliament-ART should not be made available to women below the age of 18 and above the age of 45. This is an acknowledgement of the serious health risks in these circumstances. However, the trend continues.
He pointed that ART procedures are “too risky for the post menopausal women” because bodies are not designed to bear children after 50. There are many complications to such procedures, which risk the lives of both women and their children.
“Postmenopausal pregnancies can increase the risk of hypertension, diabetes, preterm labour, pre-eclampsia, and other complications of pregnancy and childbirth. After menopause, the hormones that maintain the lining of the uterus responsible for the growth of a foetus drop to their minimum levels. Advanced age also weakens other organ systems, including the heart. Factors like these vastly increase the risk of pregnancy-related complications for women who conceive over the age of 45” observed he.
Dr Purohit raised a issue in his study that clinics that help elderly couples conceive are being deeply callous of the social consequences-because the children of such couples may well become orphans in just a few years.
“The Indian Council of Medical Research (ICMR) has for several years tried to introduce a bill to regulate the use of IVF technology for geriatric couples. Even though the ART bill was drafted in 2008 (and has gone through three versions, in 2008, 2010 and 2014), it is still to be tabled in parliament. The bill proposes an age-limit for couples attempting parenthood through IVF-45 years for women and 50 years for men-and seeks the implementation of surrogacy boards at both national and state levels. ” averred he.

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