Delivery after assisted reproduction

Predrag Mitrovic ,
Predrag Mitrovic
Nikola Matavulj ,
Nikola Matavulj
Aleksandra Mladenovic-Mihailovic
Aleksandra Mladenovic-Mihailovic

Published: 01.12.2011.

Biochemistry

Volume 28, Issue 4 (2012)

pp. 725-732;

https://doi.org/10.5937/matmed1204725m

Abstract

The aim of the paper was to describe and compare means of deliveries after assisted conception and after spontaneous conception. The rapid spread of assisted reproductive technology (ART) is part of development of modern society. Study is retrospective, descriptive and analytical. Data were collected out of medical charts of patients of Hospital for gynecology and obstetrics CHC Zvezdara, who have delivered babies in this institution after using methods of ART during the years 2001 till 2011. There were 190 ART patients, age ranging from 21 to 56 years, on average 35.6 (± 4.7) years. Majority (94.6%) of women were primiparous, without previous miscarriages. The most frequently used method of ART is IVF/ET (94.8%, of which ICSI was performed in 6.53%). 42.1% of pregnancies were achieved after second attempt of IVF/ET. Pregnancies delivered vaginally lasted on average 38,7±1,2 week of gestation. Majority of premature infants (overall incidence of preamaturety was 20,2%) were born by urgent cesarean section. There were 5 extremely premature infants (2,17%). There was 17,4% of twin pregnancies, and almost all of them (92,5%) we delivered by cesarean section. Average birth weight was 3160g (± 600), and average body length on birth was 51cm (± 3). The most vital infants were born spontaneously (wirh mean Apgar score in the 5th minute of 9,08). During our first ART pregnancy experiences we performed no vaginal deliveries. Further on, evident decreasing trend of cesarean section made place for vaginal deliveries. This ratio in study population slowely approaches to the general population ratio, and for now it is 40:60 (vaginal:cesarean delivery). Current experiencies encourage us to deal with ART pregnanices, as if they were spontaniously achieved, and to deliver them respecting obsteric indications.

Keywords

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