G D Adamson, P Creighton, J de Mouzon, F Zegers-Hochschild, S Dyer, G M Chambers
{"title":"How Many Babies Have Been Born with the Help of Assisted Reproductive Technology?","authors":"G D Adamson, P Creighton, J de Mouzon, F Zegers-Hochschild, S Dyer, G M Chambers","doi":"10.1016/j.fertnstert.2025.02.009","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to estimate the total number of babies born globally between 1978 and 2018 following assisted reproductive technology (ART). Estimates are based on epidemiological data systematically and uniquely collected by the International Committee for Monitoring Assisted Reproductive Technology (ICMART) over 40 years.</p><p><strong>Design: </strong>ICMART has been reporting global results from country and regional registries since 1991. These observational cohort reports were collated and analyzed to obtain the number of babies born. Since reporting of outcomes is inconsistent, and clinics, countries and regions report incompletely, sporadically or not at all, statistical estimates were used to estimate the additional number of babies born from non-reporting clinics, countries and regions. Upper and lower estimates were based on assumptions about the number of births from non-reporting clinics.</p><p><strong>Subjects: </strong>Patients starting an ART cycle between 1978 to 2018. All clinics reporting their outcomes to national and regional registries, or directly to the International Committee for Monitoring Assisted Reproductive Technologies.</p><p><strong>Exposure: </strong>Assisted reproductive technologies.</p><p><strong>Main outcome measures: </strong>The total number of babies born from ART annually from 1978 through 2018, including the estimated number from non-reporting clinics, countries and regions.</p><p><strong>Results: </strong>The global lower and upper estimates of babies born from ART from 1978 through 2018 are 9,829,668 and 13,019,331 CONCLUSIONS: Ten million and up to 13 million or more babies have been born from ART in the forty years since the first ART-conceived baby was born in 1978. This large number of babies born from both conventional and innovative applications of ART, confirms that ART has helped millions of people realize parenthood, is now mainstream medicine, has had significant societal impact, including novel family formation, and highlighted inequities regarding reproductive rights and access to care.</p>","PeriodicalId":12275,"journal":{"name":"Fertility and sterility","volume":" ","pages":""},"PeriodicalIF":6.6000,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Fertility and sterility","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.fertnstert.2025.02.009","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: The objective of this study was to estimate the total number of babies born globally between 1978 and 2018 following assisted reproductive technology (ART). Estimates are based on epidemiological data systematically and uniquely collected by the International Committee for Monitoring Assisted Reproductive Technology (ICMART) over 40 years.
Design: ICMART has been reporting global results from country and regional registries since 1991. These observational cohort reports were collated and analyzed to obtain the number of babies born. Since reporting of outcomes is inconsistent, and clinics, countries and regions report incompletely, sporadically or not at all, statistical estimates were used to estimate the additional number of babies born from non-reporting clinics, countries and regions. Upper and lower estimates were based on assumptions about the number of births from non-reporting clinics.
Subjects: Patients starting an ART cycle between 1978 to 2018. All clinics reporting their outcomes to national and regional registries, or directly to the International Committee for Monitoring Assisted Reproductive Technologies.
Exposure: Assisted reproductive technologies.
Main outcome measures: The total number of babies born from ART annually from 1978 through 2018, including the estimated number from non-reporting clinics, countries and regions.
Results: The global lower and upper estimates of babies born from ART from 1978 through 2018 are 9,829,668 and 13,019,331 CONCLUSIONS: Ten million and up to 13 million or more babies have been born from ART in the forty years since the first ART-conceived baby was born in 1978. This large number of babies born from both conventional and innovative applications of ART, confirms that ART has helped millions of people realize parenthood, is now mainstream medicine, has had significant societal impact, including novel family formation, and highlighted inequities regarding reproductive rights and access to care.
期刊介绍:
Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.