辅助生殖技术后的围产期结局:文献综述

Konstantina Papadatou, E. Zachariou, V. Pergialiotis, George Daskalakis
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引用次数: 0

摘要

如今,不孕症影响了大约8-12%的人口。Μultiple致病因素导致不孕夫妇无法正常怀孕,以及全球为解决不孕症而发展的各种辅助生殖技术。在过去的几年里,特别是在1978年世界上第一个通过体外受精(IVF)怀孕的婴儿出生后,人们对产科和围产期并发症的风险进行了大量的研究。在这篇综述中,我们的目的是详细介绍与常规应用的抗逆转录病毒治疗程序相关的围产期结果。因此,上述手术与妇女出现高血压疾病和妊娠糖尿病、多胎妊娠、早产和低出生体重有关。此外,研究表明,通过辅助生殖技术出生的婴儿似乎不仅更容易患先天性或表观遗传异常,而且更容易患神经发育障碍和特定类型的癌症。毫无疑问,随着新医疗技术的发展,人工受精方法在世界范围内仍在不断发展。因此,很明显,可能的长期不良新生儿结局尚未完全澄清。考虑到接受生育治疗的夫妇数量不断增加,进行更多的研究至关重要,以便了解这种治疗对孕产妇和新生儿健康的潜在影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perinatal outcomes following assisted reproductive technology: A Review of the Literature
Nowadays, infertility affects approximately 8-12% of the population. Μultiple causative factors are leading to the failure of subfertile couples to achieve a normal pregnancy, as well as various types of assisted reproductive techniques that have developed globally in order to confront infertility. Over the past few years, especially after the birth of the world’s first baby to be conceived by In Vitro Fertilization (IVF) in 1978, numerous studies have been conducted concerning the risk of obstetric and perinatal complications. In this review, we aimed to detail the perinatal outcomes in relation to the ART procedures routinely applied. Consequently, the above-mentioned procedures have been associated with the presentation of hypertensive disorders and gestational diabetes mellitus in women, multiple pregnancy, preterm birth and low birth weight. Furthermore, studies indicate that infants born from assisted reproductive technologies appear to suffer much more frequently not only by congenital or epigenetic abnormalities, but also by neurodevelopmental disorders and specific types of cancer. Indisputably, artificial fertilization methods still continue growing worldwide with new medical technologies’ evolvement. It becomes, therefore, evident that the possible long-term, adverse neonatal outcomes have not been completely clarified yet. Taking into consideration that the number of the couples that undergo fertility treatments is constantly rising, more research is of vital importance so that their potential impact of such exposure on maternal and neonatal health can be understood.
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