International Journal of
Reproductive Biomedicine
Sat, Dec 28, 2024
[Archive]
Volume 9, Issue 4 (7-2011)
IJRM 2011, 9(4): 269-276 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Huang L, Yen C, Lee S, Shu B, Lung F, Kuo C, et al . The pregnancy health and birth outcomes of women who underwent assisted reproductive technology: Results of a national survey. IJRM 2011; 9 (4) :269-276
URL: http://ijrm.ir/article-1-247-en.html
URL: http://ijrm.ir/article-1-247-en.html
Lii-Shung Huang * 
1, Chi-Hwa Yen2 , Shu-Hsin Lee1 , Bih-Ching Shu3 , For-Wey Lung4 , Ching-Pyng Kuo1 , Wei-Ya Wu5 , Angel Yen-Chiao Lu1 , Yen-Ju Lin1 , Hui-Sheng Lin5 , Ming-Chih Chou5 , Meng-Chih Lee5
1, Chi-Hwa Yen2 , Shu-Hsin Lee1 , Bih-Ching Shu3 , For-Wey Lung4 , Ching-Pyng Kuo1 , Wei-Ya Wu5 , Angel Yen-Chiao Lu1 , Yen-Ju Lin1 , Hui-Sheng Lin5 , Ming-Chih Chou5 , Meng-Chih Lee5
1- School of Nursing, Chung Shan Medical University, Taichung, Taiwan
2- Department of Family and Community Medicine, School of Medicine, Chung Shan Medical University and Hospital, Taichung, Taiwan
3- Department of Nursing, College of Medicine, Cheng Kung University, Tainan, Taiwan
4- Department of Medicine, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan
5- Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan
2- Department of Family and Community Medicine, School of Medicine, Chung Shan Medical University and Hospital, Taichung, Taiwan
3- Department of Nursing, College of Medicine, Cheng Kung University, Tainan, Taiwan
4- Department of Medicine, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan
5- Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan
Abstract: (3312 Views)
Background: There is an upward trend for parents to resort to assisted reproductive technology (ART) treatment due to delayed childbirth or birth difficulties.
Objective: This study investigates the pregnancy health and birth outcomes of women who underwent ART and analyzes the factors that influence birth weight to become<10 percentile when undergoing ART.
Materials and Methods: This study analyzed results of the first wave of the Taiwan Birth Cohort study. Through stratified systematic sampling, 24,200 mother-and-child sampling pairs were obtained from a total of 206,741 live births in Taiwan in 2005; 366 of the babies were born with the use of ART.
Results: During pregnancy, mothers who used ART suffered from higher risks of complication than the natural conception counterparts, including gestational diabetes mellitus (GDM), pregnancy induced hypertension (PIH), and placenta previa. Additionally, babies born through ART had poorer outcomes than the natural conception groups: the low birth weight (<2500g) was 33.1% compared to 6.4% for babies born naturally.
Conclusion: Pregnancy health and birth outcomes of women who underwent ART were worse than those who got natural conception. Types of maternal complication among ART women included GDM, PIH, and placenta previa. Having multiple births was the most important factor that causes low birth weight in babies. The results of this study can be used as a reference for the health and care of mothers and babies who use ART.
Objective: This study investigates the pregnancy health and birth outcomes of women who underwent ART and analyzes the factors that influence birth weight to become<10 percentile when undergoing ART.
Materials and Methods: This study analyzed results of the first wave of the Taiwan Birth Cohort study. Through stratified systematic sampling, 24,200 mother-and-child sampling pairs were obtained from a total of 206,741 live births in Taiwan in 2005; 366 of the babies were born with the use of ART.
Results: During pregnancy, mothers who used ART suffered from higher risks of complication than the natural conception counterparts, including gestational diabetes mellitus (GDM), pregnancy induced hypertension (PIH), and placenta previa. Additionally, babies born through ART had poorer outcomes than the natural conception groups: the low birth weight (<2500g) was 33.1% compared to 6.4% for babies born naturally.
Conclusion: Pregnancy health and birth outcomes of women who underwent ART were worse than those who got natural conception. Types of maternal complication among ART women included GDM, PIH, and placenta previa. Having multiple births was the most important factor that causes low birth weight in babies. The results of this study can be used as a reference for the health and care of mothers and babies who use ART.
Keywords: Assisted reproduction technology (ART), Pregnancy health, Birth outcome, Taiwan Birth Cohort Study (TBCS).
Type of Study: Original Article |
References
1. Lee SH, Lee MY, Chiang TL, Lee MS, Lee MC. Child growth from birth to 18 months old born after assisted reproductive technology-results of a national birth cohort study. Int J Nurs Stuy 2010; 47: 1159-1166. [DOI:10.1016/j.ijnurstu.2010.02.006]
2. Jackson RA, Gibson KA, Wu YE, Croughan MS. Perinatal outcomes in singletons following in vitro fertilization: A meta-analysis. Obstet Gynecol 2004; 103: 551-563. [DOI:10.1097/01.AOG.0000114989.84822.51]
3. Van Voorhis BJ. Outcome from assisted reproductive technology. Obstet Gynecol 2006; 107: 183-200. [DOI:10.1097/01.AOG.0000194207.06554.5b]
4. Romundstad LB, Romundstad PR, Sunde A, von Düring V, Skjaerven R, Vatten LJ. Increased risk of placenta previa in pregnancies following IVF/ICSI; a comparison of ART and non-ART pregnancies in the same mother. Hum Reprod 2006; 21: 2353-2358. [DOI:10.1093/humrep/del153]
5. Ombelet W, Martens G, De Sutter P, Gerris J, Bosmans E, Ruyssinck G, et al. Perinatal outcome of 12, 021 singleton and 3108 twin births after non-IVF-assisted reproduction: a cohort study. Hum Reprod 2006; 21: 1025-1032. [DOI:10.1093/humrep/dei419]
6. Lung FW, Chiang TL, Lin SJ, Lee MC, Shu BC. Child developmental screening instrument from six to thirty-six months in Taiwan birth cohort study. Early Hum Dev 2010; 86: 17-21. [DOI:10.1016/j.earlhumdev.2009.12.004]
7. Anonymous: Prenatal health check-up. In: The Bureau of National Health Insurance: Maternal Health Handbook. Taipei: The Bureau of National Health Insurance: 2010; 1-18.
8. Lee SH, Kuo BJ, Lee MC, Lee MS. Psychosocial responses of infertile couples attending an assisted reproduction program. J Formos Med Assoc 1995; 94: 26-33.
9. Lee SH, Wang SC, Kuo CP, Kuo PC, Lee MS, Lee MC. Grief responses and coping strategies among infertile women after failed in vitro fertilization treatment. Scand J Caring Sci 2010; 24: 507-513. [DOI:10.1111/j.1471-6712.2009.00742.x]
10. Pinborg A, Loft A, Schmidt L, Langhoff-Roos J, Andersen AN. Maternal risks and perinatal outcome in a Danish national cohort of 1005 twin pregnancies: the role of in vitro fertilization. Acta Obstet Gynecol Scand 2004; 83: 75-84. [DOI:10.1111/j.1600-0412.2004.00279.x]
11. Poikkeus P, Gissler M, Unkila-Kallio L, Hyden-Granskog C, Tiitinen A. Obstetric and neonatal outcome after single embryo transfer. Hum Reprod 2007; 22: 1073-1079. [DOI:10.1093/humrep/del492]
12. Shevell T, Malone FD, Vidaver J, Porter TF, Luthy DA, Comstock CH, et al. Assisted reproductive technology and pregnancy outcome. Obstet Gynecol 2005; 106: 1039-1045. [DOI:10.1097/01.AOG.0000183593.24583.7c]
13. Wang JX, Knottnerus AM, Schuit G, Norman RJ, Chan A, Dekker GA, et al. Surgically obtained sperm, and risk of gestational hypertension and pre-eclampsia. Lancet 2002; 359: 673-674. [DOI:10.1016/S0140-6736(02)07804-2]
14. Reubinoff BE, Samueloff A, Ben-Haim M, Friedler S, Schenker JG, Lewin A, et al. Is the obstetric outcome of in vitro fertilized singleton gestations different from natural ones? A controlled study. Fertil Steril 1997; 67: 1077-1083. [DOI:10.1016/S0015-0282(97)81442-2]
15. The ESHRE Capri Workshop Group. Multiple gestation pregnancy. Hum Reprod 2000; 15: 1856-1864. [DOI:10.1093/humrep/15.8.1856]
16. Hammarberg K, Fisher JRW, Wynter KH. Psychological and social aspects of pregnancy, childbirth and early parenting after assisted conception: a systematic review. Hum Reprod Update 2008; 14:395- 414. [DOI:10.1093/humupd/dmn030]
17. Younglai EV, Holloway AC, Foster WG. Environmental and occupational factors affecting fertility and IVF success. Hum Reprod Update 2005: 11: 43-57. [DOI:10.1093/humupd/dmh055]
18. Kallen B, Finnstrom O, Nygren KG, Olausson PO. In vitro fertilization in Sweden: maternal characteristics. Acta Obstet Gynecol Scand 2005: 84: 1185-1191. [DOI:10.1111/j.0001-6349.2005.00858.x]
19. Olivennes F, Fanchin R, Ledee N. Perinatal outcome and developmental studies on children born after IVF. Hum Reprod Update 2002; 8: 117-128. [DOI:10.1093/humupd/8.2.117]
20. Reynolds MA, Schieve LA, Martin JA, Jeng G, Macaluso M. Trends in multiple births conceived using assisted reproductive technology, United States, 1997-2000. Pediatrics 2003; 111: 1159-1162.
21. Koivurova S, Hartikainen AL, Gissler M, Hemminki E, Sovio U, Järvelin MR. Neonatal outcome and congenital malformations in children born after in-vitro fertilization. Hum Reprod 2002; 17: 1391-1398. [DOI:10.1093/humrep/17.5.1391]
22. Ombelet W, De Sutter, P, Van der Elst J, Martens G. Multiple gestation and infertility treatment: registration, reflection and reaction--the Belgian project. Hum Reprod Update 2005; 11: 3-14. [DOI:10.1093/humupd/dmh048]
23. Van Voorhis BJ, Dawson JD, Stovall DW, Sparks AET, Syrop CH. The effects of smoking on ovarian function and fertility during assisted reproduction cycles. Obstet Gynecol 1996; 88: 785-791. [DOI:10.1016/0029-7844(96)00286-4]
24. Wright KP, Trimarchi JR, Allsworth J, Keefe D. The effect of female tobacco smoking on IVF outcomes. Hum Reprod 2006; 21: 2930-2934. [DOI:10.1093/humrep/del269]
25. Veleva Z, Tiitinen A, Vilska S, Hydén-Granskog C, Tomás C, Martikainen H, et al. High and low BMI increase the risk of miscarriage after IVF/ICSI and FET. Hum Reprod 2008; 23: 878-884. [DOI:10.1093/humrep/den017]
26. Yeh J, Shelton JA. Association of pre-pregnancy maternal body mass and maternal weight gain to newborn outcomes in twin pregnancies. Acta Obstet Gynecol Scand 2007; 86: 1051-1057. [DOI:10.1080/00016340701417026]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
