association of assisted reproductive technology with adverse pregnancy outcomes
نویسندگان
چکیده
background: more and more infertile patients have accepted the assisted reproductive technique (art) therapy. concerns have been raised over an increased risk of adverse maternal outcomes in art populations as compared with natural conception (nc). objective: the aim was to improve the art in clinicial work and to reduce the incidence of pregnancy complications in art group according to analyzing the reasons of high incidence of pregnancy complications in art group, comparing the incidence of pregnancy complications in different controlled ovarian hyperstimulation (coh) programs and evaluating the effects of art which attribute to adverse pregnancy outcomes. materials and methods: in this prospective population-based cohort study,3216 pregnant women with gestational age ≤12 weeks, regular antenatal examination,and ultrasound identification of intrauterine pregnancy were enrolled from january 2010 to june 2013. according to having art history, the participantswere divided into two groups: art group (contains fresh embryo transfer group or frozen-thawed embryo transfer group) and nc group. we compared the incidence of pregnancy complications between different groups and evaluated the factors which could affect the occurrence of these complications. results: when compared to nc group, significantly increased rates of gestational diabetes mellitus (gdm) (p<0.01), preeclampsia (pe) (p<0.01) and intrahepatic cholestasis of pregnancy (icp) (p˂0.01) were observed in art group. there was no significant difference in the incidence of birth defect between the two groups (p=0.07). multiple pregnancies and gonadotropin (gn) were risk factors in gdm, pe, and icp. the exogenous progesterone treatment had no effect on gdm, pe or icp. conclusion: art increases the risk of adverse maternal complications such as gdm, pe and icp. the dosages of gn should be reduced to an extent and the number of embryo implantation should be controlled. exogenous progesterone treatment is safe
منابع مشابه
Association of assisted reproductive technology with adverse pregnancy outcomes
BACKGROUND More and more infertile patients have accepted the assisted reproductive technique (ART) therapy. Concerns have been raised over an increased risk of adverse maternal outcomes in ART populations as compared with natural conception (NC). OBJECTIVE The aim was to improve the ART in clinicial work and to reduce the incidence of pregnancy complications in ART group according to analyzi...
متن کاملAdverse Reproductive Outcomes Associated With Teenage Pregnancy
INTRODUCTION It is debated whether teenage pregnancy is associated with an adverse reproductive outcome. This study assessed the reproductive outcomes in teenage pregnancy in Nepal, a developing setting. METHODS A hospital based retrospective cohort study of 4,101 deliveries to compare the outcomes between teenage and non-teenage pregnancies. RESULTS Pregnancy in teenagers was associated wi...
متن کاملPnm-24: Neonatal Outcomes in Assisted Reproductive Technology Pregnancies
Background Preterm birth is the most important factor in neonatal morbidity and mortality. In the case of pregnancy with assisted reproductive technology (ART) we have more percentage of multiple pregnancies which is a strong reason for preterm birth and low birth weight so suggested that ART can affect neonatal outcomes. In this article we searched about neonatal outcomes in ART pregnancies. M...
متن کاملAssisted reproductive technology treatment outcomes.
Information on the outcomes of ART treatments in Ireland is not readily available to Irish practitioners. The data for hospital affiliated clinics has been made available for many years and is included in the hospital reports. We present a 10-year analysis of the Irish ART results voluntarily reported by six out of seven IVF clinics. The data was collected from published ESHRE reports and from ...
متن کاملAdverse pregnancy outcomes with assisted reproductive technology in non-obese women with polycystic ovary syndrome: a case-control study
OBJECTIVE To investigate adverse pregnancy outcomes in non-obese women with polycystic ovary syndrome (PCOS) compared with obese-PCOS and control groups. METHODS Women with PCOS who underwent assisted reproductive technology (ART) from August, 2003 to December, 2007, were considered. A total of 336 women with PCOS were included in the study group and 1,003 infertile women who had tubal factor...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
international journal of reproductive biomedicineجلد ۱۳، شماره ۳، صفحات ۱۶۹-۰
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023