[In vitro fertilization neonates transferred to neonatal medicine. Mid-and long-term outcome in 99 families]

M Monset-Couchard1, O de Bethmann, J P Relier

  • 1Unité de Soins Intensifs Néonatals de Port-Royal, CHU Cochin-Port-Royal, Paris.

Insights

Children born via in vitro fertilization (IVF) generally show good physical and neurodevelopmental outcomes. However, some may experience deficits, particularly those born prematurely, highlighting the need for continued monitoring and support for IVF families.

Area of Science:

  • Reproductive Medicine
  • Pediatrics
  • Developmental Psychology

Background:

  • In vitro fertilization (IVF) has become a common assisted reproductive technology.
  • Assessing the long-term health and developmental outcomes of children conceived via IVF is crucial.
  • Understanding the impact on family well-being is also important.

Purpose of the Study:

  • To evaluate the physical and neurodevelopmental status of children born following IVF.
  • To assess the overall condition and challenges faced by families with IVF-conceived children.

Main Methods:

  • A follow-up study was conducted involving physical and developmental examinations.
  • Interviews were held with parents, pediatricians, teachers, and social workers.
  • Data were collected from families with neonates admitted to the Port-Royal NICU between 1987 and 1992.

Main Results:

  • Most singleton and multiple IVF-conceived children followed for over two years exhibited normal development.
  • A significant proportion of premature neonates, especially those with very low birth weight, experienced neurodevelopmental deficits and behavioral issues.
  • Several families reported significant psychosocial challenges, including parental mental health issues and single-parent status.

Conclusions:

  • While IVF can lead to successful pregnancies and generally healthy children, prematurity remains a risk factor for developmental issues.
  • Comprehensive follow-up care is essential for IVF-conceived children, particularly those born preterm.
  • Support services for families are vital to address the psychosocial and developmental needs of these children.
Abstract