Can MAR be viewed as a tool to increase birth rate in the Czech Republic?
ESC Congress Library. Novakova K. May 4, 2016; 126951; A-125
Karolina Novakova
Karolina Novakova
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The Czech Republic – similarly to other European countries – faces fertility rates below those required to sustain replacement levels of the population. This study aims to contribute to the discussion about possible effects of medically assisted reproduction (MAR) on fertility rate.

Design & methods:

Analysis of TFR data published by Eurostat and WHO; and MAR data collected by the Czech National Register of Assisted Reproduction.


Over the past 25 years, the upward trend of delaying childbearing has significantly contributed to the decline of fertility rate in the Czech Republic. In 1990s, total fertility rate (TFR) has dropped under the population replacement needs and has remained there ever since. Simultaneously, the use of MAR increases – most dramatically in the group of patients between 35 and 39 years of age. Furthermore, MAR has played a part in the rise of multiple births.

The number of births after IVF in the Czech Republic is relatively stable, accounting for ca. 2.5% of the total number of live births. However, the structure of women who give birth after IVF changes slightly – while in 2010 the proportion of children born after IVF to mothers aged 35 and over was around 29%, in 2013 it was already 37%. This corresponds with the overall trend of increasing the proportion of births given by mothers older than 35 (the proportion of these births between 2010 and 2013 increased the total number of births from 15.6% to 19.6%).


Naturally, IVF cannot be seen as the whole answer to the decline of the TFR in the Czech population. Nevertheless, MAR can make a significant contribution and may be viewed as a component of an overall policy aiming to reverse the fall in TFR.


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