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A Modified Vessel-Sparing Microsurgical Vasoepididymostomy
Published on: June 8, 2022
助産生殖による結果
Alastair G Sutcliffe1, Michael Ludwig
1Department of Paediatrics, University College London, London, UK. a.sutcliffe@medsch.ucl.ac.uk
Lancet (London, England)
|July 31, 2007
まとめ
助産生殖療法 (ART) で生まれた子供は,生前合併症や泌尿器系不形成など,いくつかの健康リスクがあります. 彼らの全体的な健康上の結果を理解するために,さらなる長期的な研究が必要である.
科学分野:
- 生殖医学は,生殖器医学である.
- 小児の健康に関する小児保健
- インビトロ受精による受精です.
背景:
- 助産生殖療法 (ART) は,数十年にわたって利用されており,先進国における出産の有意な割合に貢献しています.
- ARTで受精した子どもは人口が増加しているが,長期的な健康に関する包括的なデータは限られている.
- 現存する研究によると,ARTで受精した子供の健康リスクの一部は,ART技術そのものに限らず,潜在的不妊症の問題や高出生順序などの要因に起因することが示唆されています.
研究 の 目的:
- イン・ビトロ受精 (IVF) や他のARTの手続きで生まれた子供に関する健康状態と潜在的なリスクを調査する.
- ART技術に起因する健康リスクと,親の不妊症に関連した健康リスクを区別する.
- ARTで受精した子孫における,生前合併症や先天性異常などの特定の健康上の懸念を特定するためです.
主な方法:
- ART.以降に生まれた子供に関する既存の文献と健康データのレビュー.
- 母親の健康,不妊症の原因,妊娠の特徴 (例えば,シングルトン対複数出産) を含む潜在的な混同要因の分析.
- ARTで受精した子供と自然に受精した子供との健康結果の比較.
主要な成果:
- ARTは子宮内および子周合併症のリスクの増加と関連しています.
- 尿器生殖器の異常は,ART後に生まれた男の子の乳児において,シングレトン妊娠でも観察されています.
- いくつかのリスクは増幅されていますが,ARTで受精した子供を持つ家族では,家族の不和が増加したことが報告されていません.
結論:
- ART後に生まれた子供は,生周期の合併症や特定の発育不全のリスクの増加を含む,特定の健康上の課題に直面します.
- ARTで受精した個体の長期的な健康監視は,生殖能力の年齢に達し,それ以上になると非常に重要です.
- この集団の長期的な健康経路を完全に解明し,ARTの実践を洗練するために,さらなる研究が不可欠です.
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