Problem/Condition: Since the first U.S. infant
conceived with assisted reproductive technology (ART) was born in 1981, both
the use of ART and the number of fertility clinics providing ART services have
increased steadily in the United States. ART includes fertility treatments in
which eggs or embryos are handled in the laboratory (i.e., in vitro
fertilization [IVF] and related procedures). Women who undergo ART procedures
are more likely than women who conceive naturally to deliver multiple-birth
infants. Multiple births pose substantial risks to both mothers and infants,
including obstetric complications, preterm delivery, and low birthweight
infants. This report provides state-specific information for the United States
(including Puerto Rico) on ART procedures performed in 2013 and compares infant
outcomes that occurred in 2013 (resulting from ART procedures performed in 2012
and 2013) with outcomes for all infants born in the United States in 2013.
Reporting Period Covered: 2013.
Description of System: In 1996, CDC began
collecting data on ART procedures performed in fertility clinics in the United
States as mandated by the Fertility Clinic Success Rate and Certification Act
of 1992 (FCSRCA) (Public Law 102–493). Data are collected through the National
ART Surveillance System (NASS), a web-based data collection system developed by
CDC. This report includes data from 52 reporting areas (the 50 states, the
District of Columbia [DC], and Puerto Rico).
Results: In 2013, a total of 160,521 ART
procedures (range: 109 in Wyoming to 20,299 in California) with the intent to
transfer at least one embryo were performed in 467 U.S. fertility clinics and
were reported to CDC. These procedures resulted in 53,252 live-birth deliveries
(range: 47 in Alaska to 6,979 in California) and 66,691 infants (range: 61 in
Alaska to 8,649 in California). Nationally, the total number of ART procedures
performed per million women of reproductive age (15–44 years), a proxy measure
of the ART usage rate, was 2,521 (range: 352 in Puerto Rico to 7,688 in DC).
ART use exceeded the national rate in 13 reporting areas (California,
Connecticut, Delaware, Hawaii, Illinois, Maryland, Massachusetts, New
Hampshire, New Jersey, New York, Rhode Island, Virginia, and DC).
Via: http://goo.gl/1WQMM0
By: Saswati
Sunderam, Division of Reproductive Health, National Center for Chronic Disease
Prevention and Health Promotion. Telephone: 770-488-6356; E-mail: msunderam@cdc.gov.
More at: https://twitter.com/hiv_insight
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