Pregnancy Complications and Neonatal Outcomes in Multiple Pregnancies: A Comparison between Assisted Reproductive Techniques and Spontaneous Conception
نویسندگان
چکیده
BACKGROUND This study compared neonatal outcome and maternal complications in multiple pregnancies after assisted reproductive technologies (ART) to spontaneous pregnancies. MATERIALS AND METHODS In this cross-sectional study, we reviewed medical records of 190 multiple pregnancies and births conceived by ART or spontaneous conceptions between 2004 and 2009 in Women Hospital. Obstetric history and outcomes were recorded and compared between these two groups. SPSS version 13 was used for data analysis. The results were analyzed using student's t test, chi square and logistic regression (p<0.05). RESULTS There were 106 deliveries from spontaneous conceptions and 84 that resulted from ART. Parity history and mode of delivery significantly differed between the two groups (p<0.001). The ART group had significantly higher preterm labor and premature rupture of membranes (PROM) whereas pregnanc-induced hypertension (PIH) was higher in the spontaneous group (p=0.01). Newborn intensive care unit (NICU) admission, duration of hospitalization, still birth and low gestational age were significantly higher in the ART group while neonatal jaundice was higher in the spontaneous group. Logistic regression analysis by considering neonatal complications as the dependent variable showed that respiratory distress syndrome (RDS), NICU admission and Apgar score were independent predictors for neonatal complications. CONCLUSION Obstetric and neonatal outcomes must be considered in multiple pregnancies conceived by ART.
منابع مشابه
Pregnancy Complications and Neonatal Outcomes in Multiple Pregnancies: A Comparison between Assisted Reproductive Techniques and Spontaneous Conception
متن کامل
Pnm-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 کاملPerinatal Outcomes of Newborn Infants Conceived by Assisted Reproductive Techniques in Royan Institute
Background The outcomes of such pregnancies have been rarely evaluated in our country. A descriptive study was planned to assess the health and condition of neonates conceived with assisted techniques in a one year period. MaterialsAndMethods At Royan Institute, Tehran, 443 women who became pregnant by one of the assisted techniques in vitro fertilization (IVF), intrauterine insemination (IUI) ...
متن کاملP-166: Obstetric and Neonatal Outcomes of Twin Pregnancies Conceived by Assisted Reproductive Techniques Compared with Natural Conceived Twins: A Prospective Follow-Up Study
Background: Comparison of obstetric and neonatal outcomes of twin pregnancies conceived by assisted reproduction technology (ART) with those of spontaneously conceived (SC). Materials and Methods: In this prospective cohort study, all dichorionic twin pregnancies following fresh IVF/ intra-cytoplasmic sperm injection (ICSI) or ICSI cycles (n=320) and (SC) (n=170) in nulliparous women in Royan I...
متن کاملComparison of Pregnancy and Neonatal Outcomes in Frozen and Fresh Embryo Transfer in ART Cycles: A Retrospective Cohort Study
Background & aim: In addition to the benefits of frozen embryo transfer (FET), the key question is whether freezing or melting embryos can cause fetal harm and prenatal complications. This study aimed to assess pregnancy and neonatal outcomes after FET and fresh embryo transfer (ET). Methods: This retrospective ...
متن کامل