Long-Term Cardiovascular Morbidity in Children Born Following Fertility Treatment

Sivan Reut Shiloh1, Eyal Sheiner1, Tamar Wainstock2

  • 1Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Insights

Children born after in vitro fertilization (IVF) or ovulation induction do not face a higher risk of long-term cardiovascular disease (CVD). This study found no significant difference in CVD incidence compared to children from spontaneous pregnancies.

Area of Science:

  • Reproductive Medicine
  • Pediatric Cardiology
  • Public Health

Background:

  • Fertility treatments like in vitro fertilization (IVF) and ovulation induction are increasingly common.
  • Concerns exist regarding the long-term health outcomes of children conceived through these methods, particularly cardiovascular disease (CVD).
  • Understanding the pediatric CVD risk associated with fertility treatments is crucial for parental counseling and clinical practice.

Purpose of the Study:

  • To investigate the long-term risk of cardiovascular disease (CVD) in children born following in vitro fertilization (IVF) and ovulation induction compared to those from spontaneous pregnancies.
  • To evaluate hospitalizations related to CVD up to age 18 in different conception groups.

Main Methods:

  • A population-based cohort study analyzed singleton deliveries between 1991 and 2014.
  • Children's hospitalization records for CVD (including valvular disorders, hypertension, arrhythmias, etc.) up to age 18 were assessed.
  • Kaplan-Meier curves and Cox regression models were used to compare cumulative incidence and control for confounders.

Main Results:

  • The study included 242,187 singleton deliveries; 1.1% conceived via IVF and 0.7% via ovulation induction.
  • Hospitalization rates for CVD up to age 18 were comparable across IVF (0.6%), ovulation induction (0.7%), and spontaneous (0.6%) groups.
  • After adjusting for maternal and gestational factors, fertility treatments were not identified as a risk factor for pediatric CVD.

Conclusions:

  • Singletons conceived via fertility treatments do not exhibit an increased risk of long-term pediatric cardiovascular disease.
  • These findings suggest that current fertility treatments are safe concerning long-term cardiovascular health in offspring.
  • Further research can focus on other potential long-term health outcomes.
Abstract

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