[Impact of assisted reproduction on obstetrics and neonatology]. / Einfluss der assistierten Reproduktion auf Geburtshilfe und Neonatologie.
Z Geburtshilfe Neonatol
; 213(6): 221-7, 2009 Dec.
Article
en De
| MEDLINE
| ID: mdl-20099209
ABSTRACT
BACKGROUND:
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.METHODS:
A selective literature search was conducted to examine the influence of ART on obstetric and neonatal aspects.RESULTS:
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.CONCLUSIONS:
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 infertility should be informed in detail before the onset of ART.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Complicaciones del Embarazo
/
Embarazo Múltiple
/
Resultado del Embarazo
/
Técnicas Reproductivas Asistidas
/
Enfermedades Fetales
/
Enfermedades del Recién Nacido
/
Complicaciones del Trabajo de Parto
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Newborn
/
Pregnancy
Idioma:
De
Revista:
Z Geburtshilfe Neonatol
Asunto de la revista:
PERINATOLOGIA
Año:
2009
Tipo del documento:
Article
País de afiliación:
Alemania