Document Detail


Assisted reproductive technologies and perinatal morbidity: interrogating the association.
MedLine Citation:
PMID:  23375143     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Interrogating the association between assisted reproductive technologies (ART) and perinatal outcome is complicated but very important. This is an introduction to a series of articles that review this potential association with an eye toward etiology of risk, and what aspects of in vitro fertilization (IVF) can be modified to reduce this risk. When an association is not due to chance (i.e., statistically significant), one must also consider how the association may be affected due to bias or confounding. Despite lack of the perfect study, perinatal consequences of ART are apparent, even though the vast majority of children conceived with ART are healthy. Pregnancy after IVF is altered as evidenced by risk of preterm delivery, low birth weight among infants, and an alerted prevalence of preeclampsia. The long-term clinical implications of ART, such as childhood development and metabolism, have not been established and ongoing study is proceeding. The risk attributed to multiple births is iatrogenic and needs to be minimized. Optimizing the environment at the time a woman conceives will likely have an effect on gestation as well as the health of children. Reproduction effects health and health effects reproduction.
Authors:
Kurt T Barnhart
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Publication Detail:
Type:  Introductory Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Fertility and sterility     Volume:  99     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-02-04     Completed Date:  2013-04-04     Revised Date:  2014-02-04    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  299-302     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Causality
Comorbidity
Congenital Abnormalities / epidemiology*,  etiology,  prevention & control
Evidence-Based Medicine
Female
Humans
Infant, Newborn
Infant, Newborn, Diseases / epidemiology*,  etiology,  prevention & control
Male
Pregnancy
Pregnancy Complications / epidemiology*,  etiology,  prevention & control
Reproductive Techniques, Assisted / adverse effects,  statistics & numerical data*
Risk Factors
Treatment Outcome
Grant Support
ID/Acronym/Agency:
K24 HD060687/HD/NICHD NIH HHS; K24HD060687/HD/NICHD NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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