'I went from trying for a baby, to finding out we couldn’t have a baby and that I had cancer.'
Fran, 38, was diagnosed with cervical cancer in 2013. She and her husband Mark now have two girls, Evelyn and Grace who they had via an independentWe were trying for a baby and I wasn’t getting pregnant. I was also bleeding during or after sex, which wasn’t really unusual for me so I hadn’t been too worried about it. But since we were trying I went to see the doctor. The GP seemed quite concerned, so they referred me to the hospital and a consultant took a look.
At that point I just thought, I’ve got to preserve my own life. Because what's the point in anything if I can't preserve my own life?I never really thought, Oh, if I can't carry, that's going to mean that I'm not going to be a mum. There’s lots of different ways that people become mums these days. I can't carry but we'll find another way to have a child. And the most important thing is that if we do have a child that I'm there to raise it.
First of all, I remember looking at surrogacy agencies, but at the time they were all full and weren't taking any new members. You hear about the ratios of surrogates to intended parents in terms of there's loads of IPs and not an awful lot of surrogates. I was going on forums where people were saying that they'd been in these agencies for years and still not had any success. So I just put it to the back of my mind and thought, you know what, I'm not ready for that anyway.
After that I checked the group every single day, like what was happening, any sort of updates and things. I chatted to a few ladies to try to work out what the etiquette was, which is a little bit like dating, you know – am I allowed to talk to more than one surrogate at the same time? When is it serious?
So then we went through all of the process of the clinic, the counseling and everything that needs to be done. The first couple of times we tried, we weren't successful.
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Perinatal and pediatric outcomes associated with the use of fertility treatment: a population-based retrospective cohort study in Ontario, Canada - BMC Pregnancy and ChildbirthBackground Around 2% of births in Ontario, Canada involve the use of assisted reproductive technology (ART), and it is rising due to the implementation of a publicly funded ART program in 2016. To better understand the impact of fertility treatments, we assessed perinatal and pediatric health outcomes associated with ART, hormonal treatments, and artificial insemination compared with spontaneously conceived births. Methods This population-based retrospective cohort study was conducted using provincial birth registry data linked with fertility registry and health administrative databases in Ontario, Canada. Live births and stillbirths from January 2013 to July 2016 were included and followed to age one. The risks of adverse pregnancy, birth and infant health outcomes were assessed by conception method (spontaneous conception, ART – in vitro fertilization and non-ART – ovulation induction, intra-uterine or vaginal insemination) using risk ratios and incidence rate ratios with 95% confidence intervals (CI). Propensity score weighting using a generalized boosted model was applied to adjust for confounding. Result(s) Of 177,901 births with a median gestation age of 39 weeks (IQR 38.0–40.0), 3,457 (1.9%) were conceived via ART, and 3,511 (2.0%) via non-ART treatments. There were increased risks (adjusted risk ratio [95% CI]) of cesarean delivery (ART: 1.44 [1.42–1.47]; non-ART: 1.09 [1.07–1.11]), preterm birth (ART: 2.06 [1.98–2.14]; non-ART: 1.85 [1.79–1.91]), very preterm birth (ART: 2.99 [2.75–3.25]; non-ART: 1.89 [1.67–2.13]), 5-min Apgar | 7 (ART: 1.28 [1.16–1.42]; non-ART: 1.62 [1.45–1.81]), and composite neonatal adverse outcome indicator (ART: 1.61 [1.55–1.68]; non-ART: 1.29 [1.25–1.34]). Infants born after fertility treatments had increased risk of admission to neonatal intensive care unit (ART: 1.98 [1.84–2.13]; non-ART: 1.59 [1.51–1.67]) and prolonged birth admission (≥ 3 days) (ART: 1.60 [1.54–1.65]; non-ART: 1.42 [1.39–1.45]). The rate of emergency and in-hos
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