Obstetric and Perinatal Outcomes of Singleton Pregnancies After in-vitro Fertilization in Siriraj Hospital, A Matched Case-Control Study
Keywords:
IVF; Natural conception; pregnancy outcomes; neonatal outcomes; cesareanAbstract
Objective: To compare obstetric and perinatal outcomes between singletons born after IVF and natural conception.
Methods: A total of 141 singleton pregnancies conceived by IVF were included. Another 141 singleton pregnancies conceived naturally were randomly selected as comparison group, matched by age. Data were retrospectively extracted from medical records, including baseline characteristics and delivery data. Various characteristics, including pregnancy and neonatal outcomes were compared between groups.
Results: Women in IVF group were more likely to be nulliparous and had previous miscarriage (88.7% vs. 76.6%,0=0.003; and 26.2% vs. 14.8%, p=0.018, respectively). Underlying diseases and complications during pregnancy were comparable between the 2 groups. Mean gestational age was lower in IVF group (37.9 ± 2.0 vs. 38.4 ± 1.6, p=0.008),but without clinical significance. Primary cesarean section was significantly more common among women in IVF group (74.4% vs. 54.6%, p<0.001) and the majority were elective cases (61.9% vs. 23.4%, p<0.001). There were no significant differences in terms of rates of preterm labor, birth weight, low birth weight, small for gestational age, neonatal intensive care unit admissions, and perinatal mortality.
Conclusion: Singleton pregnancies after IVF were not associated with higher risks of adverse obstetric and perinatal outcomes, compared with naturally conceived group, but IVF pregnancies are associated with a high rate of cesarean sections.
Downloads
Published
How to Cite
Issue
Section
License
Users are free to share, copy, and redistribute all articles published in the Siriraj Medical Journal (SMJ) in any medium or format as long as you follow the following terms:
- Attribution — You must give appropriate credit, provide a link to the material, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the publisher endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
- NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.