en سلامت باروری و نتایج تولد در زنانی که تحت روش‌های کمک باروری (ART) قرار گرفته اند: نتایج یک بررسی ملی Original Article Original Article <strong><span style="font-family:b mitra;"><span style="font-size:11.0pt;">مقدمه:</span></span></strong><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> تعداد روزافزونی از زوج</span></span><span dir="LTR"><span style="font-size:11.0pt;">&shy;</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">ها از روش</span></span><span dir="LTR"><span style="font-size:11.0pt;">&shy;</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">های کمک به باروری (</span></span><span dir="LTR"><span style="font-size:11.0pt;">ART</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">) استفاده می</span></span><span dir="LTR"><span style="font-size:11.0pt;">&shy;</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">کنند که این امر ب</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">ه ع</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">لت بالارفتن سن حاملگی یا مشکلات تولد می&shy;باشد. </span></span><br> <strong><span style="font-family:b mitra;"><span style="font-size:11.0pt;">هدف:</span></span></strong> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">در این مطالعه </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">به بررسی </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">سلامت حاملگی و نتایج تولد در زنانی که از </span></span><span dir="LTR"><span style="font-size:11.0pt;">ART</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> استفاده کرده&shy;اند و عوامل مؤثر بر کاهش وزن هنگام تولد (به زیر 10% نرمال) در این زنان پرداخته است. </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"></span></span><br> <strong><span style="font-family:b mitra;"><span style="font-size:11.0pt;">مواد و روش ها:</span></span></strong> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">در یک نمونه&shy;گیری سیستماتیک تعداد 24200 مادر و فرزند از تعداد کل 741</span></span><span dir="LTR"><span style="font-size:11.0pt;">,</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> 206 تولد در سال 2005 در تایوان مطالعه شدند که در این سال 366 نوزاد بوسیله استفاده از </span></span><span dir="LTR"><span style="font-size:11.0pt;">ART</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> بدنیا آمده بودند.</span></span><strong><span style="font-family:b mitra;"><span style="font-size:11.0pt;"></span></span></strong><br> <strong><span style="font-family:b mitra;"><span style="font-size:11.0pt;">نتایج: </span></span></strong><span style="font-family:b mitra;"><span style="font-size:11.0pt;">مادرانی که از </span></span><span dir="LTR"><span style="font-size:11.0pt;">ART</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> استفاده کرده بودند در حین حاملگی در خطر بروز عوارض بیشتری نسبت به مادرانی که طبیعی حامله شده بودند، قرار داشتند. این عوارض شامل: دیابت شیرین (</span></span><span dir="LTR"><span style="font-size:11.0pt;">GDM</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">)، پرفشاری خون ناشی از حاملگی (</span></span><span dir="LTR"><span style="font-size:11.0pt;">PIH</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">) و پلاسنتا پرویا بود. بعلاوه نوزادان متولد شده از </span></span><span dir="LTR"><span style="font-size:11.0pt;">ART</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> دارای پیش&shy;آگهی بدتری از نوزادان متولد شده از حاملگی طبیعی مانند وزن کم موقع تولد (زیر 2500 گرم) (33/1% در مقایسه با 6/4% در نوزادان حاصل از حاملگی طبیعی) بودند. </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"></span></span><br> <strong><span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">نتیجه &shy;گیری: </span></span></span></strong><span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">سلامت حاملگی و نتایج تولد در زنانی که از </span></span></span><span style="font-family:times new roman,serif;"><span style="font-size:11.0pt;">ART</span></span><span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> استفاده کرده بودند بدتر از مادرانی که به طور طبیعی حامله شده بودند، بدست آمد. انواع این عوارض در بین مادرانی که از </span></span></span><span style="font-family:times new roman,serif;"><span style="font-size:11.0pt;">ART</span></span><span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> استفاده کردند شامل </span></span></span><span style="font-family:times new roman,serif;"><span style="font-size:11.0pt;">GDM</span></span><span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> و </span></span></span><span style="font-family:times new roman,serif;"><span style="font-size:11.0pt;">PIH</span></span><span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> و پلاسنتا پرویا بود همچنین چند قلویی&nbsp;&nbsp; &nbsp;مهم&shy;ترین فاکتور کم بودن وزن موقع تولد نوزادان این مادران بدست آمد. نتایج این مطالعه می تواند به عنوان منبعی جهت سلامت و مراقبت مادران و نوزادان حاصل از </span></span></span><span style="font-family:times new roman,serif;"><span style="font-size:11.0pt;">ART</span></span><span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> مورد استفاده قرار گیرد</span></span></span> <strong>Background: </strong>There is an upward trend for parents to resort to assisted reproductive technology (ART) treatment due to delayed childbirth or birth difficulties.<br> <strong>Objective:</strong> 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.<br> <strong>Materials and Methods: </strong>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.<br> <strong>Results:</strong> 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.<br> <strong>Conclusion:</strong> 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.<br> &nbsp; ART, سلامت باروری, نتایج تولد Assisted reproduction technology (ART), Pregnancy health, Birth outcome, Taiwan Birth Cohort Study (TBCS). 269 276 http://ijrm.ir/browse.php?a_code=A-10-549-66&slc_lang=en&sid=1 Lii-Shung Huang Yes School of Nursing, Chung Shan Medical University, Taichung, Taiwan Chi-Hwa Yen No Department of Family and Community Medicine, School of Medicine, Chung Shan Medical University and Hospital, Taichung, Taiwan Shu-Hsin Lee No School of Nursing, Chung Shan Medical University, Taichung, Taiwan Bih-Ching Shu No Department of Nursing, College of Medicine, Cheng Kung University, Tainan, Taiwan For-Wey Lung No Department of Medicine, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan Ching-Pyng Kuo No School of Nursing, Chung Shan Medical University, Taichung, Taiwan Wei-Ya Wu No Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan Angel Yen-Chiao Lu No School of Nursing, Chung Shan Medical University, Taichung, Taiwan Yen-Ju Lin No School of Nursing, Chung Shan Medical University, Taichung, Taiwan Hui-Sheng Lin No Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan Ming-Chih Chou No Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan Meng-Chih Lee mcl@taic.doh.gov.tw No Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan