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A Modified Vessel-Sparing Microsurgical Vasoepididymostomy
Published on: June 8, 2022
辅助生殖的结果
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
概括
通过辅助生殖疗法 (ART) 出生的儿童存在一些健康风险,包括产周并发症和泌尿器官形. 需要进一步的长期研究来了解它们的整体健康结果.
科学领域:
- 生殖医学 生殖医学
- 儿科健康 儿科健康
- 在体外受精 在体外受精
背景情况:
- 几十年来,人们一直在使用辅助生殖疗法 (ART),在发达国家,辅助生殖疗法导致了大量的分娩.
- 通过ART怀孕的儿童代表着日益增长的人口,但关于他们长期健康状况的综合数据仍然有限.
- 现有研究表明,在ART怀孕的儿童中,一些健康风险源于潜在的不孕问题和诸如高出生顺序等因素,而不仅仅是ART技术本身.
研究的目的:
- 调查体外受精 (IVF) 和其他ART程序后出生的儿童的健康状况和潜在风险.
- 区分可归因于ART技术的健康风险和与父母不孕症相关的健康风险.
- 为了确定特定的健康问题,如围产期并发症和先天性形,在ART怀孕后代.
主要方法:
- 审查现有的文献和有关ART后出生的儿童的健康数据.
- 分析潜在的混因素,包括母亲的健康状况,不孕不育的原因和怀孕特征 (例如,单胎与多胎).
- 通过ART怀孕的孩子和自然怀孕的孩子之间的健康结果的比较.
主要成果:
- ART与子宫内和产周并发症的风险增加有关.
- 在ART后出生的男性婴儿中,甚至在单独怀孕中也观察到泌尿器官形.
- 虽然有些风险被放大,但在ART孕育孩子的家庭中没有报告增加家庭不和.
结论:
- 在ART治疗后出生的儿童面临着某些健康挑战,包括患上围产期并发症和特定形的风险增加.
- 在ART怀孕的个体达到生殖年龄及以后,长期健康监测至关重要.
- 进一步的研究是必不可少的,以充分阐明这一群体的长期健康轨迹,并完善ART实践.
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