樽 1. WHO 2012World Health Statistics 2012 32 2.1 Centers for Disease Control and Prevention; CDC 33 20091544 1,000 102.1 12302 636 9413 1115 2108 7 1990200930 30 30 19755 201026 34,35 12 1990,2000,2009CDC/NCHS 36, National Vital Statistics System and National Survey of Family Growth: CDC, Abortion Surveillance System; and Guttmacher Institute 250 200 150 100 50 0 168 136 116 105 102 107 77 52 37 199 181 179 169 162 154 138 131 119 77 68 57 1115 19 15 44 15 17 18 19 20 24 25 29 30 34 35 39 40 44 1990 2000 2009 27
1990 1000115.8 37,37 2009102.1 1990 1212 199070.920091990-7201263.0 38 121980 200918.5199027.4 32 12 200620071990 13 15441990 2009CDC/NCHS 39, National Vital Statistics System and National Survey of Family Growth: CDC, Abortion Surveillance System; and Guttmacher Institute 140 15 44 120 100 80 60 40 20 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 200740 39 28
14 15-191988-2010 CDC/NCHS, National Survey of Family Growth, 2006 2010 70 60 50 40 30 51 49 60 55 46 46 43 42 1988 1995 2002 20 2006 2010 10 0 15 15-19 CDC/NCHS, National Survey of Family Growth, 2006 2010 90 80 70 66 78 82 71 74 71 60 50 40 30 20 10 0 2002 2006 2010 2. 1978 31981 301980Society for Assisted Reproductive Technology SART 1986 1992 29
Fertility Clinic Success Rate and Certification Act FCSRCA, or Public Law 102-493 Centers for Disease Control and Prevention; CDC 19972006 National ART Surveillance System NASSAmerican Society for Reproductive Medicine; ASRMSART CDC RESOLVE American Fertility Association, Fertile Hope Assisted Reproductive Technology: ART 2002National Survey of Family Growth NSFG 15 44 7.4% 40 15 44 12 6 10 36% 41,42 110730 43 20021.2% 15 442.2 15-296.3%40-44 9.4 44 15 44,37 15 4 4 474443 CDC 30
647.7% ART 1.5 45 2010Assisted Reproductive Technology: ART 46 474 147,260ART47,09061,564 1.5 0.1 4.5% 1544 1002331ART ART 46.4 % 7501 2 46 Patient Protection and Affordable Care Act ACA 2014 1 17 94 3100 ACA 3. National Public Health Action Plan for the Detection, Prevention and Management of Infertility 22002National Survey of Family Growth NSFG 15 44 7.4% 41,44 15 44 12 34 CDC 1.ART 2. 3. 3 31
2010 CDCNational Public Health Action Plan for the Detection, Prevention and Management of Infertility 47 CDC 48 1 2 3 318 4. Fertility IQ 2011 Fertility IQ 2011EMD2535 49 4-1. 44 2002 131 44 32
4-2. 1.2. 3.4.5. 12 6. 7.25351 71,010 4-3. 107 716 16 2535 Fertility IQ 2011 50 40 35 35.6 30 31.8 30.8 25 24.4 20 304 31743 17 16 Fertility IQ 201122 33
19.0% 6.0% 43.0% 8.0% 18.0% 3.0% 7.0% 32.0% 64.0% 64 32 18 Fertility IQ 2011 50 7 13 21 41 41 38 34 34 69 64 60 82 78 0 50 100 34
10 31 4-4. 10940 39 3512 5 4356 18 18 Fertility IQ 2011 50 49 29 17 16 15 14 10 0 10 20 30 40 50 60 12 52% 78%89-96% 35
4-5. 3541 44 3040 50 30 1 2 3 404 4-6. 35 5. Fertility IQ 2011 50 NPO 36
5-1. CDC ART 50 20 CDC ART CDC20 ART 6 ARTART ART ART a.b.artc. d.art4 NPO 37
5-2. 51 21 Reproductivefacts.org Reproductivefacts.org21 FAQ 5-3. Society for Assisted Reproductive Technology SART 52 SART ARTFAQ Reproductivefacts.org 38
5-4. RESOLVE: The National Infertility Association 53 22 RESOLVE: The National Infertility Association RESOLVE 22 1974 NPO 7 5-5. Fertility Hope 54 1997 LiveStrongNPOFertility Hope 蔽 ART 蔽 39
ART 5-6. Maria talks 55 Maria talkshiv/aids 1983 NPO 1980 HIV/AIDS DV 24 6. Roe v. Wade, 410 U.S. 113 1973 14 1973 1982 700 2005 367 1970 120 130 40
87 2 5 NPO CDC 3 1987 56 GIFT ICSI ZIFT 2005 MassHealth MassHealth 2002013 2 31,020 2006 ACA 1 2 34 41
7.42004 2010 1.9 2009 68159278 36 22011 1 6953 5244 4 Who s in the family? Who s in the family? 2000 57 2000 128,000 205 20081 136,0002000 6 58 42
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The Your Fertility 59 the Fertility Coalition Louise Johnson 2013 3 60 1 61 2011 2 2 44
3 2 20 45 4. 2013 3 ( ) 4 ( ) 5 18 45 462 35 1/4 45 1/3 59 3036 40 61 194 ( ) 2012 3 62 2012 3 2013 3 4 82 1 3 121,000 5 (Robert Norman) 63 5 45
DVD ( ) DVD Fertility Week 5 50 235 200 ( ) 2012 3 2013 3 1 65 57 12 9 500 100 5. 2014 3 2013 9 6. 46