Impact of assisted reproduction on obstetrics and neonatology

Zeitschrift für Geburtshilfe und Neonatologie
Michael K BohlmannG Griesinger

Abstract

In industrialised countries, 1-4% of all children are born as a result of assisted reproductive therapies (ART), such as IVF and ICSI. Possible associations of these ARTs with obstetric and neonatal risk constellations are analysed critically in the context of this review. A selective literature search was conducted to examine the influence of ART on obstetric and neonatal aspects. Multiple gestations, occurring more frequently after ART, are of special significance with regard to their associated risks. In comparison to spontaneous pregnancies, singleton gestations after ART are associated with higher rates of complications, such as preeclampsia, prematurity, low birth weight, foetal malformations and a higher rate of Caesarean sections. Although causal associations between extracorporeal fertilisation methods and health risks for mothers and infants in singleton pregnancies cannot be ruled out, these complications are rather attributed to the underlying causes of infertility than to the methods of assisted reproduction themselves. Pregnancies after ART are to be regarded as risk constellations with a need for closer surveillance during gestation - irrespective of the number of developing foetuses. Couples seeking advice about...Continue Reading

Citations

Aug 7, 2013·Fertility and Sterility·Beatriz CarrascoAnna Veiga
Oct 28, 2016·The Journal of Parasitology·José Carlos Iturbe-MorgadoRoxana Acosta
May 12, 2021·Journal of Developmental Origins of Health and Disease·Junwei ZhangLijun Sun

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