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[Birth defects, medical outcome and somatic development in children conceived after intracytoplasmic sperm injection
M Snajderová1, D Zemková, T Mardesić
1Pediatrická klinika 2. LF UK a FN Motol, Praha. marta.snajderova@lfmotol.cuni.cz
Insights
Children conceived via intracytoplasmic sperm injection (ICSI) show higher rates of birth defects but normal somatic development. While generally healthy, these children require more medical care than those conceived naturally.
Area of Science:
- Reproductive Medicine
- Pediatric Health
- Developmental Biology
Context:
- Intracytoplasmic sperm injection (ICSI) is a common assisted reproductive technology.
- Assessing long-term outcomes in children born after ICSI is crucial for understanding its impact.
- This study focuses on Czech children conceived via ICSI, comparing them to the general population.
Purpose:
- To analyze the incidence of birth defects in children conceived via ICSI.
- To evaluate the medical outcome and somatic development of ICSI-conceived children.
- To compare these outcomes with those of children conceived spontaneously.
Summary:
- Birth defects were significantly more frequent in ICSI-conceived children (13.3%) compared to controls (4.6%).
- Somatic development, including height and weight, was within normal ranges, though head circumference was larger.
- ICSI children required more frequent hospitalization and specialized clinic care, indicating a higher need for healthcare services.
Impact:
- Findings highlight the increased risk of birth defects associated with ICSI, necessitating careful monitoring.
- The study suggests that while somatic development is largely unaffected, ICSI-conceived children may have greater healthcare needs.
- This research provides valuable data for genetic counseling and clinical management of families undergoing ICSI.
Objective:
To analyze the incidence of birth defects, medical outcome and somatic development in children conceived after intracytoplasmic sperm injection (ICSI).
Design:
Prospective open cross-sectional clinical study.
Setting:
University hospital and private IVF unit.
Methods:
135 Czech children (59 girls, 76 boys) from singleton and twin pregnancies conceived after ICSI (age 03-9.5 years; median 5.9) were assessed during the period 2004-2006. The incidence of birth defects, medical outcome and somatic development were evaluated and compared with data of general population and/or with control group matched for sex and age.
Results:
Birth defects were found in 133% of ICSI children (compared to 4.6% in children after spontaneous conception; p<0.001). The general health of ICSI children did not differ significantly compared to general population. ICSI children required more surgery or hospitalization compared to general population data. There is high rate (69.6%) among ICSI children in the care of various specialised clinics. Body height and weight in ICSI children is in normal range and corresponds to their growth potential. Head circumference in ICSI children is larger compared to reference data (0.43 SD; p<0.001).
Conclusions:
No clinically important differences in somatic development between ICSI and general population of Czech children were found. Birth defects were more frequent in ICSI children. The overall general health in ICSI children seems satisfactory but ICSI children were more likely to need health care compared to general population.
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