en فناوری های کمک باروری و پیامدهای مادری: یک مروری سیستماتیک مطالعات کوهورت Assisted Reproductive Technologies Review article Review Article <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,&quot;sans-serif&quot;"><b><span lang="FA" style="font-family:&quot;B Mitra&quot;">مقدمه: </span></b><span lang="FA" style="font-family:&quot;B Mitra&quot;">بارداری به روش فناوری کمک&shy;باروری با پیامدهای جنینی و مادری همراه است.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,&quot;sans-serif&quot;"><b><span lang="FA" style="font-family:&quot;B Mitra&quot;">هدف: </span></b><span lang="FA" style="font-family:&quot;B Mitra&quot;">این مرور سیستماتیک با هدف بررسی ارتباط بین فناوری کمک&shy;باروری و پیامدهای مادری انجام شد.</span><b><span dir="LTR" style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;"></span></b></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,&quot;sans-serif&quot;"><b><span lang="FA" style="font-family:&quot;B Mitra&quot;">مواد و روش&shy; ها: </span></b><span lang="FA" style="font-family:&quot;B Mitra&quot;">در این مروری سیستماتیک، پایگاه‌های اطلاعاتی الکترونیکی شامل </span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">PubMed</span></span><span lang="FA" style="font-family:&quot;B Mitra&quot;">،</span> <span dir="LTR" style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">MEDLINE</span></span><span lang="FA" style="font-family:&quot;B Mitra&quot;">،</span> <span dir="LTR" style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Web of Science</span></span><span lang="FA" style="font-family:&quot;B Mitra&quot;">،</span> <span dir="LTR" style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Scopus</span></span><span lang="FA" style="font-family:&quot;B Mitra&quot;">،&nbsp;</span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Science Direct</span></span><span lang="FA" style="font-family:&quot;B Mitra&quot;">،</span> <span dir="LTR" style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Cochrane Library</span></span><span lang="FA" style="font-family:&quot;B Mitra&quot;">،</span> <span dir="LTR" style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Google Scholar</span></span><span lang="FA" style="font-family:&quot;B Mitra&quot;">،</span> <span dir="LTR" style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Magiran</span></span><span lang="FA" style="font-family:&quot;B Mitra&quot;">،</span> <span dir="LTR" style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Irandoc</span></span><span style="font-family:&quot;B Mitra&quot;"> و </span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">SID</span></span><span style="font-family:&quot;B Mitra&quot;"> برای پیامدهای مادری گزارش شده از سال 2010 تا 2021 مورد جستجو قرار گرفتند. مقیاس نیوکاسل-اتاوا مختص مطالعات کوهورت برای ارزیابی کیفیت روش شناختی مطالعات استفاده شد.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,&quot;sans-serif&quot;"><b><span lang="FA" style="font-family:&quot;B Mitra&quot;">نتایج: </span></b><span lang="FA" style="font-family:&quot;B Mitra&quot;">در مجموع 3362 مطالعه با جستجو در پایگاه‌های اطلاعاتی شناسایی شد. پس از غربالگری چکیده‌ها و بررسی‌های متن کامل، 19 مطالعه که عوارض مربوط به بارداری تک&shy;قلو ناشی از لقاح آزمایشگاهی/تزریق اسپرم داخل سیتوپلاسمی را ارزیابی ‌کردند، وارد مطالعه شدند. نتایج نشان داد که حاملگی‌های تک&shy;قلو که از طریق فناوری&shy;های کمک&shy;باروری حاصل شده است، نسبت به حاملگی‌هایی که به‌طور طبیعی رخ داده است، با خطر عوارض مرتبط با بارداری و پیامدهای نامطلوب مادر، مانند خونریزی واژینال، زایمان سزارین، فشار خون بالا ناشی از بارداری، پره&shy;اکلامپسی، جفت سرراهی و پارگی زودرس غشاء بالاتری همراه بوده است.</span><b><span dir="LTR" style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;"></span></b></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,&quot;sans-serif&quot;"><b><span lang="FA" style="font-family:&quot;B Mitra&quot;">نتیجه&shy; گیری: </span></b><span lang="FA" style="font-family:&quot;B Mitra&quot;">افزایش خطر پیامدهای نامطلوب مامایی در حاملگی‌های تک&shy;قلو با روش فناوری&shy;های کمک&shy;باروری مشاهده شد. بنابراین متخصصان زنان و زایمان باید این بارداری&shy;ها را جزو موارد پرخطر در نظر بگیرند و به روند بارداری آنها توجه ویژه&shy;ای داشته باشند.</span><b><span dir="LTR" style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;"></span></b></span></span></span></span></span><br> &nbsp;</div> <div style="text-align: justify;"><span style="font-size:11pt"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span style="font-family:Calibri,&quot;sans-serif&quot;"><b><span style="font-size:12.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Background:</span></span></b><span style="font-size:12.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> Pregnancy with assisted reproductive technology (ART) is accompanied by fetal and maternal outcomes. </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span style="font-family:Calibri,&quot;sans-serif&quot;"><b><span style="font-size:12.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Objective:</span></span></b><span style="font-size:12.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> This systematic review aimed to assess the relationship between ART and maternal outcomes. </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span style="font-family:Calibri,&quot;sans-serif&quot;"><b><span style="font-size:12.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Materials and Methods:</span></span></b><span style="font-size:12.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> In this systematic review, the electronic databases, including PubMed, MEDLINE, Web of Science, Scopus, Science Direct, Cochrane Library, Google Scholar, Magiran, Irandoc, and Scientific Information Database were searched for maternal outcomes reported from 2010-2021. The Newcastle-Ottawa Scale for cohort studies was used to assess the methodological quality of studies. </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span style="font-family:Calibri,&quot;sans-serif&quot;"><b><span style="font-size:12.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Results:</span></span></b><span style="font-size:12.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> A total of 3362 studies were identified by</span></span> <span style="font-size:12.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">searching the databases. After screening abstracts and full-text reviews, 19 studies assessing the singleton pregnancy-related complications of in vitro fertilization/intracytoplasmic sperm injection were included in the study. The results demonstrated that singleton pregnancies conceived through ART had higher risks of pregnancy-related complications and adverse maternal outcomes,</span></span><span style="font-size:12.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> such as vaginal bleeding, cesarean section, hypertension induced by pregnancy, pre-eclampsia, placenta previa, and </span></span><span style="font-size:12.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">premature membrane rupture than</span></span><span style="font-size:12.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> those conceived naturally</span></span><span style="font-size:12.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">. </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span style="font-family:Calibri,&quot;sans-serif&quot;"><b><span style="font-size:12.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Conclusion:</span></span></b><span style="font-size:12.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> In conclusion, an increased risk of adverse obstetric outcomes was observed in singleton pregnancies conceived by ART. Therefore, obstetricians should consider these pregnancies as high-risk cases and should pay special attention to their pregnancy process. </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span style="font-family:Calibri,&quot;sans-serif&quot;"><span style="font-size:10.0pt"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"></span></span></span></span></span></span></div> فناوری های کمک باروری, سلامت مادری, عوارض بارداری, لقاح آزمایشگاهی. Assisted reproductive techniques, Maternal health, Pregnancy complications, In vitro fertilization. 861 880 http://ijrm.ir/browse.php?a_code=A-10-2326-1&slc_lang=en&sid=1 Fatemeh Heshmatnia fatemeh.heshmatnia.1994@gmail.com 0000-0001-8550-3675 No Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. Maryam Jafari maryam.jafari9170@gmail.com 0000-0001-8597-854X No Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. Leila Bozorgian liela.bozorgian1@gmail.com 0000-0002-7384-0081 No Student Research Committee, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Parvin Yadollahi yadollahi_556@yahoo.com 0000-0001-6722-6854 No Department of Midwifery, Maternal-fetal medicine Research Center. School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran Zohre Khalaginia z.khalaji@muq.ac.ir 0000-0002-3815-2881 No Department of Midwifery, School of Medicine, Qom University of Medical Sciences, Qom, Iran. Marzieh Azizi marziehazizi70@gmail.com 0000-0002-0835-3201 Yes Department of Midwifery, Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran.