women who are not willing to reduce their alcohol consumption should not, for an in-vitro fertilization (IVF) or other forms of artificial fertilization will be approved. This calls for a working group of the European Society of Human Reproduction and Embryology (ESHRE) in Human Reproduction Journal (2010; doi: 10.1093/humrep/dep458). But should also change obese women and smokers before treatment with lifestyle, find the ethicist. According to her, then many could repro medical treatments are unnecessary. The negative effects of maternal alcohol consumption on the developing child are unique. Alcohol not only increases the rate of miscarriages. Many children suffer later discharged for life from the effects of fetal alcohol syndrome. For the Task Force on Ethics and Law at the University of Maastricht Wypo Donberg this is a sufficient reason to exclude women with alcohol problems from a reproductive health care. When overweight, the opinion is more ambiguous. While there is evidence that the mother harms her by becoming the overweight child. So overweight pregnant women develop twice as often as normal weight gestational diabetes. In a morbid obesity, the risk is even increased eightfold. Children of obese mothers are at increased risk of perinatal mortality, and the rate of malformations such as neural tube defects (80 percent) or cardiovascular anomalies (30 percent) is increased. But this is sufficient, overweight women deny access to reproductive health treatment? A categorical rejection of talks, the task force is not enough. For the treatment of Women with severe or morbid obesity should, however, "special reasons" are put forward to justify ethically in vitro fertilization, they find. Also, maternal smoking is harmful to the child. In studies, it was associated with lower birth weight, an increased risk of cleft palate and jaw area and in the first year of life with a sudden infant death syndrome. The task force derives not from the requirement to exclude smokers from treatment. This should, however, as overweight and alcohol-drinking women are encouraged to change their lifestyle. Many would probably also be fulfilled without the help of their children's desire can. It is known that alcohol reduces the chances of fertilization and the hosting of the pregnancy. Are overweight are on hormonal and metabolic factors also have a negative impact on fertility, and female smokers, according to the Task Force twice as likely as Non smoking infertile women. Their partners can make a contribution as producing testes of smokers fewer sperm, which are also of poorer quality
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