Professional paper
PERINATAL AND NEUROMOTOR OUTCOME OF NEWBORN AFTER IVF et ET
Branimir Peter
; Clinic for gynecology and obstetrition, Clinical hospital center Rijeka, Croatia
Iva Bilić
; Clinic for gynecology and obstetrition, Clinical hospital center Rijeka, Croatia
Igor Prpić
; Clinic for gynecology and obstetrition, Clinical hospital center Rijeka, Croatia
Abstract
The pernatal outcome of 433 deliveries and 643 newborns,
conceived following IVF-ET procedure at a Dep.
of Obst. And Gyn. Of Clinical Medical Centre Zagreb
in the period 2000-2003 is analyzed. The results are
compared to the outcome of 20468 other infants born
infants in the same period. The 40,19% of IVF-Et pregnancies
were multifetal, among them 29,06 with twins,
8,96 with triplets and 2,42% with quadruplets. Among
other 20468 deliveries 310 (1,52%) were multifetal,
almost exclusvely twins and only 3 pregnancies with
triplets. When correlating the IVF-ET pregnacies and
newborns to all others it was established: stillbirth
4,41% versus 1,26%; SC 72,46 vs 11,41% ; delivery <
37 weeks 49,85% vs 11,37; infants LBW 40,88% vs
1,42% ; ELBW infants 4,25% vs 1,03%. In singletons
following IVF-ET no difference in relation to spontaneus
concevid, whereas well-defined differences in mutiple
pregnacies between IVF-ET and spontaneus concevide
twins were found: FM in IVF-ET was 66,7 ‰ vs
14,5 ‰, ENM 25,0‰ vs 30,0‰; PM 92,0‰ vs 53,0
‰. In 111 triplets following IVF-ET fetal mortality
Stručni rad Medicina 2007;43:270-278
Professional paper UDK: 618.177-089.888.111:618.2/4
270
was 72,0‰, ENM 36,0 ‰, and PM 108,0‰. Gross
malformations in the total IVF-ET group were 3,77%
vs 1,67% in othere pregnacies. The authors have confirmed
the higher risk of IVF-ET pregnacies, that is
caused by higher rate of mutiple pregnacies, of newborns
< 37 w., infants < 2500 g. The pregnacies following
IVF-ET are high risk pregnancies, they claim for
special attention and perinatal care.
Keywords
Hrčak ID:
23476
URI
Publication date:
20.12.2007.
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