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2 (32) 2018

Demography and social economy, 2018, 2(33):82-93
doi: https://doi.org/10.15407/dse2018.02.082
UDC 314.3:618 (477)

V.P. Dumanska
PhD (con.), Senior researcher
Ptukha Institute for Demography and Social Studies
of the National Academy of Sciences of Ukraine
01032, Ukraine, Kyiv, blvd Taras Shevchenko, 60
E-mail: vita.dumanska@gmail.com

Language: Ukrainian
Abstract: The paper aims to provide a comprehensive analysis of the use of assisted reproductive technologies in Ukraine, assess their availability and determine possible contribution to fertility. According to statistics, about 1.6 % of children each year are conceived using assisted reproductive technologies, and this indicator is rapidly increasing. Rapid spreading of reproductive treatment can have a number of demographic implications, among them postponement of first birth, increasing number of multiple deliveries, changes in population sexual structure due to selection of the embryo sex. The author compares the structure, scale, and effectiveness of the assisted reproductive technologies application in Ukraine and European countries. In Ukraine, the number of implemented reproductive cycles is 68 times less than in developed European countries, while the structure of the use of reproductive methods is quite progressive and similar to the structure in European countries. However, in Ukraine, the effectiveness of reproductive cycles is 1520 % lower (depending on the type of reproductive technology). The peculiarities of the use of reproductive technologies for different age groups are outlined. A significant problem for European reproductive medicine is that citizens turn to reproductive clinics after 35 years, and that age is close to the end of fertility. In Ukraine, 52 % of reproductive cycles occur for women under the age of 35. This can be a significant reserve for increasing the efficiency of the use of assisted reproductive technologies. Based on the detected scale of female and male infertility, high demand for the use of assisted reproductive technologies has been identified. The author evaluates the availability of assisted reproductive technologies in Ukraine on the basis of the calculation of the average cost of birth (for ICSI and IVF methods). The calculations include primary medical diagnostic, the cost of fertilization services and associated medical services, as well as the cost of delivering. The calculations are based on data from the private reproductive clinics of Kyiv (as of 01.03.2018).
Key words: fertility, infertility, assisted reproductive technologies, order of births, cohort fertility, abortion.
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