Obstetrics and Gynaecology, London Deanery, c/o Queen Elizabeth Hospital Woolwich, South London Healthcare NHS Trust, London SE18 4QH, United Kingdom.
Reprod Biomed Online. 2013 Aug;27(2):121-4. doi: 10.1016/j.rbmo.2013.05.005. Epub 2013 May 17.
The recent Italian court report regarding the removal and adoption of a 1-year-old child conceived with assisted reproduction treatment from parents deemed to be 'too old' at ages 57 and 70 brings to the fore the complex medical and ethical issues that surround assisted reproduction. This obstetric commentary examines the biology of reproductive ageing, current childbearing trends and the outcomes of post-reproductive age pregnancies, particularly focusing on maternal mortality as 'the tip of the iceberg' of IVF harms. The case highlights the need for global standards to ensure medical accountability.
最近意大利法庭的一份报告涉及一对被认为年龄太大的父母（57 岁和 70 岁）的 1 岁孩子被领养和被带走的事件，这突显了辅助生殖治疗所涉及的复杂医学和伦理问题。这篇产科评论文章探讨了生殖衰老的生物学、当前的生育趋势以及生育后年龄妊娠的结果，特别是将产妇死亡率作为“IVF 危害的冰山一角”来重点关注。该案例强调了制定全球标准以确保医疗问责制的必要性。
