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Published in: Italian Journal of Pediatrics 1/2013

Open Access 01-12-2013 | Research

The effect of IVF pregnancies on mortality and morbidity in tertiary unit

Authors: Gülcan Turker, Emek Doger, Ayşe Engin Arısoy, Ayla Günlemez, Ayşe Sevim Gökalp

Published in: Italian Journal of Pediatrics | Issue 1/2013

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Abstract

Background

There are several studies that have shown an increased risk of premature birth and developmental abnormalities with in vitro fertilization (IVF); however, the data on preterm mortality and morbidity are limited.

Aim

Our aim is to investigate whether IVF had an effect on the mortality and morbidity in neonates admitted to the neonatal intensive care unit.

Methods

A total of 940 term and preterm babies who were admitted to the intensive care unit over a period of 2 years were enrolled. Of these, 121 babies were born after IVF and 810 were born after a natural conception and 9 were born after ovulation induction. Of these, 112 preterm babies were born after IVF and 405 preterm babies were born after a natural conception.

Results

In the IVF group, the gestational age and birth weight were significantly lower than in the non-IVF group. Additionally, in the IVF group, multiple births were significantly higher than in the non-IVF group. IVF pregnancies increase preterm delivery but did not increase preterm mortality, and preterm morbidity did not differ among groups, except for intraventricular hemorrhage (IVH). Gestational age was shown to be the primary risk factor for IVH using a logistic regression analysis. Also when newborns at gestational age <32 weeks were compared using regression analysis, gestational age was the major risk factor for IVH.

Conclusion

IVF appears to be associated with premature delivery and the known risks associated with prematurity.
Literature
1.
go back to reference Wright VC, Chang J, Jeng G, Macaluso M: Centers for Disease Control and Prevention (CDC).Assisted reproductive technology surveillance--United States, 2005. MMWR Surveill Summ. 2008, 57 (5): 1-23.PubMed Wright VC, Chang J, Jeng G, Macaluso M: Centers for Disease Control and Prevention (CDC).Assisted reproductive technology surveillance--United States, 2005. MMWR Surveill Summ. 2008, 57 (5): 1-23.PubMed
2.
go back to reference Jackson RA, Gibson KA, Wu YW, Croughan MS: Perinatal outcomes in singletons following in vitro fertilization: a meta-analysis. Obstet Gynecol. 2004, 103: 551-63. 10.1097/01.AOG.0000114989.84822.51.CrossRefPubMed Jackson RA, Gibson KA, Wu YW, Croughan MS: Perinatal outcomes in singletons following in vitro fertilization: a meta-analysis. Obstet Gynecol. 2004, 103: 551-63. 10.1097/01.AOG.0000114989.84822.51.CrossRefPubMed
3.
go back to reference Sutcliffe AG, Ludwig M: Outcome of assisted reproduction. Lancet. 2007, 370: 351-9. 10.1016/S0140-6736(07)60456-5.CrossRefPubMed Sutcliffe AG, Ludwig M: Outcome of assisted reproduction. Lancet. 2007, 370: 351-9. 10.1016/S0140-6736(07)60456-5.CrossRefPubMed
4.
go back to reference Henningsen AK, Pinborg A, Lidegaard Ø, Vestergaard C, Forman JL, Andersen AN: Perinatal outcome of singleton siblings born after assisted reproductive technology and spontaneous conception: Danish national sibling-cohort study. Fertil Steril. 2011, 95 (3): 959-63. 10.1016/j.fertnstert.2010.07.1075.CrossRefPubMed Henningsen AK, Pinborg A, Lidegaard Ø, Vestergaard C, Forman JL, Andersen AN: Perinatal outcome of singleton siblings born after assisted reproductive technology and spontaneous conception: Danish national sibling-cohort study. Fertil Steril. 2011, 95 (3): 959-63. 10.1016/j.fertnstert.2010.07.1075.CrossRefPubMed
5.
go back to reference Garg P, Abdel-Latif ME, Bolisetty S, Bajuk B, Vincent T, Lui K: Perinatal characteristics and outcome of preterm singleton, twin and triplet infants in NSW and the ACT, Australia (1994–2005). Arch Dis Child Fetal Neonatal Ed. 2010, 95 (1): F20-4. 10.1136/adc.2009.157701.CrossRefPubMed Garg P, Abdel-Latif ME, Bolisetty S, Bajuk B, Vincent T, Lui K: Perinatal characteristics and outcome of preterm singleton, twin and triplet infants in NSW and the ACT, Australia (1994–2005). Arch Dis Child Fetal Neonatal Ed. 2010, 95 (1): F20-4. 10.1136/adc.2009.157701.CrossRefPubMed
6.
go back to reference Hansen M, Kurinczuk JJ, Bower C, Webb S: The risk of major birth defects after intracytoplasmic sperm injection and in vitro fertilization. N Engl J Med. 2002, 346 (10): 725-30. 10.1056/NEJMoa010035.CrossRefPubMed Hansen M, Kurinczuk JJ, Bower C, Webb S: The risk of major birth defects after intracytoplasmic sperm injection and in vitro fertilization. N Engl J Med. 2002, 346 (10): 725-30. 10.1056/NEJMoa010035.CrossRefPubMed
7.
go back to reference Reefhuis J, Honein MA, Schieve LA, Correa A, Hobbs CA, Rasmussen SA: National Birth Defects Prevention Study. Assisted reproductive technology and major structural birth defects in the United States. Hum Reprod. 2009, 24 (2): 360-6. 10.1093/humrep/den387.CrossRefPubMed Reefhuis J, Honein MA, Schieve LA, Correa A, Hobbs CA, Rasmussen SA: National Birth Defects Prevention Study. Assisted reproductive technology and major structural birth defects in the United States. Hum Reprod. 2009, 24 (2): 360-6. 10.1093/humrep/den387.CrossRefPubMed
8.
go back to reference Akdağ R: Turkish census and health study, 2008 main report conference, opening statement presentation 2009, Ankara. Turk Neonatol Dern Bul. 2010, 22: 23-28. Akdağ R: Turkish census and health study, 2008 main report conference, opening statement presentation 2009, Ankara. Turk Neonatol Dern Bul. 2010, 22: 23-28.
9.
go back to reference Türker G, Özsoy G, Günlemez A, Gökalp AS, Arısoy EA, Bircan Z: Acute renal failure SNAPPE and mortality. Pediatr Int. 2011, 53 (4): 483-8. 10.1111/j.1442-200X.2011.03377.x.CrossRefPubMed Türker G, Özsoy G, Günlemez A, Gökalp AS, Arısoy EA, Bircan Z: Acute renal failure SNAPPE and mortality. Pediatr Int. 2011, 53 (4): 483-8. 10.1111/j.1442-200X.2011.03377.x.CrossRefPubMed
10.
go back to reference Helmerhorst FM, Perquin DAM, Donker D, Keirse MJNC: Perinatal outcome of singletons and twins after assisted conception: a systematic review of controlled studies. BMJ. 2004, 328: 261-10.1136/bmj.37957.560278.EE.PubMedCentralCrossRefPubMed Helmerhorst FM, Perquin DAM, Donker D, Keirse MJNC: Perinatal outcome of singletons and twins after assisted conception: a systematic review of controlled studies. BMJ. 2004, 328: 261-10.1136/bmj.37957.560278.EE.PubMedCentralCrossRefPubMed
11.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
12.
go back to reference Ombelet W, Martens G, De Sutter P, Gerris J, Bosmans E, Ruyssinck G, Defoort P, Molenberghs G, Gyselaers W: Perinatal outcome of 12 021 singleton and 3108 twin births after non-IVF-assisted reproduction: a cohort study. Hum Reprod. 2006, 21 (4): 1025-32.CrossRefPubMed Ombelet W, Martens G, De Sutter P, Gerris J, Bosmans E, Ruyssinck G, Defoort P, Molenberghs G, Gyselaers W: Perinatal outcome of 12 021 singleton and 3108 twin births after non-IVF-assisted reproduction: a cohort study. Hum Reprod. 2006, 21 (4): 1025-32.CrossRefPubMed
13.
go back to reference Yang H, Choi YS, Nam KH, Kwon JY, Park YW, Kim YH: Obstetric and perinatal outcomes of dichorionic twin pregnancies according to methods of conception: spontaneous versus in-vitro fertilization. Twin Res Hum Genet. 2011, 14 (1): 98-103. 10.1375/twin.14.1.98.CrossRefPubMed Yang H, Choi YS, Nam KH, Kwon JY, Park YW, Kim YH: Obstetric and perinatal outcomes of dichorionic twin pregnancies according to methods of conception: spontaneous versus in-vitro fertilization. Twin Res Hum Genet. 2011, 14 (1): 98-103. 10.1375/twin.14.1.98.CrossRefPubMed
14.
go back to reference Schieve LA, Meikle SF, Ferre C, Peterson HB, Jeng G, Wilcox LS: Low and very low birth weight in infants conceived with use of assisted reproductive technology. N Engl J Med. 2002, 346 (10): 731-7. 10.1056/NEJMoa010806.CrossRefPubMed Schieve LA, Meikle SF, Ferre C, Peterson HB, Jeng G, Wilcox LS: Low and very low birth weight in infants conceived with use of assisted reproductive technology. N Engl J Med. 2002, 346 (10): 731-7. 10.1056/NEJMoa010806.CrossRefPubMed
15.
go back to reference (Turkish neonatal society study group on assisted reproductive techniques and multiple pregnancies. Neonatal outcomes assisted reproduction and multiple pregnancies, Ankara, Turkey). Neonatal outcomes assisted reproduction and multiple pregnancies. Çocuk Sağlığı ve Hastalıkları Dergisi. 2010, 53: 258-266. (Turkish neonatal society study group on assisted reproductive techniques and multiple pregnancies. Neonatal outcomes assisted reproduction and multiple pregnancies, Ankara, Turkey). Neonatal outcomes assisted reproduction and multiple pregnancies. Çocuk Sağlığı ve Hastalıkları Dergisi. 2010, 53: 258-266.
16.
go back to reference Bertelsmann H, de Carvalho Gomes H, Mund M, Bauer S, Matthias K: The risk of malformation following assisted reproduction. Dtsch Arztebl Int. 2008, 105 (1–2): 11-7.PubMedCentralPubMed Bertelsmann H, de Carvalho Gomes H, Mund M, Bauer S, Matthias K: The risk of malformation following assisted reproduction. Dtsch Arztebl Int. 2008, 105 (1–2): 11-7.PubMedCentralPubMed
17.
go back to reference The ESHRE Capri Workshop Group: Multiple gestation pregnancy. Hum Reprod. 2000, 15 (8): 1856-64. 10.1093/humrep/15.8.1856.CrossRef The ESHRE Capri Workshop Group: Multiple gestation pregnancy. Hum Reprod. 2000, 15 (8): 1856-64. 10.1093/humrep/15.8.1856.CrossRef
18.
go back to reference Konstantinidis G, Spasojevic S, Kostic Todorovic M: Newborns from in vitro fertilization conceived pregnancies. J Matern Fetal Neonatal Med. 2010, 23 (Suppl 3): 110-2.CrossRefPubMed Konstantinidis G, Spasojevic S, Kostic Todorovic M: Newborns from in vitro fertilization conceived pregnancies. J Matern Fetal Neonatal Med. 2010, 23 (Suppl 3): 110-2.CrossRefPubMed
19.
go back to reference Morcel K, Lavoué V, Beuchée A, Le Lannou D, Poulain P: Pladys Perinatal morbidity and mortality in twin pregnancies with dichorionic placentas following assisted reproductive techniques or ovarian induction alone: a comparative study. Eur J Obstet Gynecol Reprod Biol. 2010, 153 (2): 138-42. 10.1016/j.ejogrb.2010.07.010.CrossRefPubMed Morcel K, Lavoué V, Beuchée A, Le Lannou D, Poulain P: Pladys Perinatal morbidity and mortality in twin pregnancies with dichorionic placentas following assisted reproductive techniques or ovarian induction alone: a comparative study. Eur J Obstet Gynecol Reprod Biol. 2010, 153 (2): 138-42. 10.1016/j.ejogrb.2010.07.010.CrossRefPubMed
20.
go back to reference Black M, Bhattacharya S: Epidemiology of multiple pregnancy and the effect of assisted conception. Semin Fetal Neonatal Med. 2010, 15 (6): 306-12. 10.1016/j.siny.2010.06.004.CrossRefPubMed Black M, Bhattacharya S: Epidemiology of multiple pregnancy and the effect of assisted conception. Semin Fetal Neonatal Med. 2010, 15 (6): 306-12. 10.1016/j.siny.2010.06.004.CrossRefPubMed
21.
go back to reference Spasojević S, Konstantinidis G, Doronjski A: Morbidity and mortality of premature neonates after introduction of national in vitro fertilisation programme--our experience. Srp Arh Celok Lek. 2010, 38 (1–2): 67-71. abstractCrossRef Spasojević S, Konstantinidis G, Doronjski A: Morbidity and mortality of premature neonates after introduction of national in vitro fertilisation programme--our experience. Srp Arh Celok Lek. 2010, 38 (1–2): 67-71. abstractCrossRef
22.
go back to reference Allen C, Bowdin S, Harrison RF, Sutcliffe AG, Brueton L, Kirby G, Kirkman-Brown J, Barrett C, Reardon W, Maher E: Pregnancy and perinatal outcomes after assisted reproduction: a comparative study. Ir J Med Sci. 2008, 177 (3): 233-41. 10.1007/s11845-008-0172-9.CrossRefPubMed Allen C, Bowdin S, Harrison RF, Sutcliffe AG, Brueton L, Kirby G, Kirkman-Brown J, Barrett C, Reardon W, Maher E: Pregnancy and perinatal outcomes after assisted reproduction: a comparative study. Ir J Med Sci. 2008, 177 (3): 233-41. 10.1007/s11845-008-0172-9.CrossRefPubMed
23.
go back to reference Tandberg A, Bjørge T, Nygård O, Børdahl PE, Skjaerven R: Trends in incidence and mortality for triplets in Norway 1967–2006: the influence of assisted reproductive technologies. BJOG. 2010, 117 (6): 667-75. 10.1111/j.1471-0528.2010.02530.x.CrossRefPubMed Tandberg A, Bjørge T, Nygård O, Børdahl PE, Skjaerven R: Trends in incidence and mortality for triplets in Norway 1967–2006: the influence of assisted reproductive technologies. BJOG. 2010, 117 (6): 667-75. 10.1111/j.1471-0528.2010.02530.x.CrossRefPubMed
24.
go back to reference Hansen M, Bower C, Milne E, de Klerk N, Kurinczuk JJ: Assisted reproductive technologies and the risk of birth defects–a systematic review. Hum Reprod. 2005, 20 (2): 328-38.CrossRefPubMed Hansen M, Bower C, Milne E, de Klerk N, Kurinczuk JJ: Assisted reproductive technologies and the risk of birth defects–a systematic review. Hum Reprod. 2005, 20 (2): 328-38.CrossRefPubMed
25.
go back to reference Schimmel MS, Hammerman C, Lusky A, Reichman B: Very low-birth-weight-infantsconceived by in vitro fertilization are not at higher risk for mortality and morbidity:a population-based study. Fertil Steril. 2006, 85: 907-12. 10.1016/j.fertnstert.2005.09.050.CrossRefPubMed Schimmel MS, Hammerman C, Lusky A, Reichman B: Very low-birth-weight-infantsconceived by in vitro fertilization are not at higher risk for mortality and morbidity:a population-based study. Fertil Steril. 2006, 85: 907-12. 10.1016/j.fertnstert.2005.09.050.CrossRefPubMed
26.
go back to reference Stewart JE, Allred EN, Collins M: Risk of cranial ultrasound abnormalities in very-low-birth-weight infants conceived with assisted reproductive techniques. J Perinatol. 2002, 22: 37-45. 10.1038/sj.jp.7210666.CrossRefPubMed Stewart JE, Allred EN, Collins M: Risk of cranial ultrasound abnormalities in very-low-birth-weight infants conceived with assisted reproductive techniques. J Perinatol. 2002, 22: 37-45. 10.1038/sj.jp.7210666.CrossRefPubMed
27.
go back to reference Messerschmidt A, Olischar M, Birnbacher R, Weber M, Pollak A, Leitich H: Perinatal outcome of preterm infants <1500 g after IVF pregnancies compared with natural conception. Arch Dis Child Fetal Neonatal Ed. 2010, 95 (3): F225-9. 10.1136/adc.2009.165761.CrossRefPubMed Messerschmidt A, Olischar M, Birnbacher R, Weber M, Pollak A, Leitich H: Perinatal outcome of preterm infants <1500 g after IVF pregnancies compared with natural conception. Arch Dis Child Fetal Neonatal Ed. 2010, 95 (3): F225-9. 10.1136/adc.2009.165761.CrossRefPubMed
28.
go back to reference Luke B, Brown MB: Contemporary risks of maternal morbidity and adverse outcomes with increasing maternal age and plurality. Fertil Steril. 2007, 88: 283-93. 10.1016/j.fertnstert.2006.11.008.PubMedCentralCrossRefPubMed Luke B, Brown MB: Contemporary risks of maternal morbidity and adverse outcomes with increasing maternal age and plurality. Fertil Steril. 2007, 88: 283-93. 10.1016/j.fertnstert.2006.11.008.PubMedCentralCrossRefPubMed
29.
go back to reference Topp M, Huusom LD, Langhoff-Roos J, Delhumeau C, Hutton JL, Dolk H: SCPE Collaborative Group. Multiple birth and cerebral palsy in Europe: a multicenter study. Acta Obstet Gynecol Scand. 2004, 83 (6): 548-53.CrossRefPubMed Topp M, Huusom LD, Langhoff-Roos J, Delhumeau C, Hutton JL, Dolk H: SCPE Collaborative Group. Multiple birth and cerebral palsy in Europe: a multicenter study. Acta Obstet Gynecol Scand. 2004, 83 (6): 548-53.CrossRefPubMed
30.
go back to reference Hack M: Young adult outcomes of very-low-birth-weight children. Semin Fetal Neonatal Med. 2006, 11: 127-37. 10.1016/j.siny.2005.11.007.CrossRefPubMed Hack M: Young adult outcomes of very-low-birth-weight children. Semin Fetal Neonatal Med. 2006, 11: 127-37. 10.1016/j.siny.2005.11.007.CrossRefPubMed
31.
go back to reference Huddy CL, Johnson A, Hope PL: Educational and behavioural problems inbabies of 32–35 weeks gestation. Arch Dis Child Fetal Neonatal Ed. 2001, 85: F23-8. 10.1136/fn.85.1.F23.PubMedCentralCrossRefPubMed Huddy CL, Johnson A, Hope PL: Educational and behavioural problems inbabies of 32–35 weeks gestation. Arch Dis Child Fetal Neonatal Ed. 2001, 85: F23-8. 10.1136/fn.85.1.F23.PubMedCentralCrossRefPubMed
32.
go back to reference Kramer MS, Demissie K, Yang H, Platt RW, Sauve R, Liston R: The contribution ofmild and moderate preterm birth to infant mortality. Fetal and infant health study group of the Canadian perinatal surveillance system. JAMA. 2000, 284: 843-9. 10.1001/jama.284.7.843.CrossRefPubMed Kramer MS, Demissie K, Yang H, Platt RW, Sauve R, Liston R: The contribution ofmild and moderate preterm birth to infant mortality. Fetal and infant health study group of the Canadian perinatal surveillance system. JAMA. 2000, 284: 843-9. 10.1001/jama.284.7.843.CrossRefPubMed
33.
go back to reference Yayla M, Baytur Y: Multicentric multiple pregnancy study II: Perinatal mortality in twins. Perinatoloji Dergisi. 2009, 17 (1): 8-17. Yayla M, Baytur Y: Multicentric multiple pregnancy study II: Perinatal mortality in twins. Perinatoloji Dergisi. 2009, 17 (1): 8-17.
Metadata
Title
The effect of IVF pregnancies on mortality and morbidity in tertiary unit
Authors
Gülcan Turker
Emek Doger
Ayşe Engin Arısoy
Ayla Günlemez
Ayşe Sevim Gökalp
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Italian Journal of Pediatrics / Issue 1/2013
Electronic ISSN: 1824-7288
DOI
https://doi.org/10.1186/1824-7288-39-17

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