调查辅助生殖技术与不良周产期结果的关联
Anastasios Potiris1, Paraskevas Perros2, Eirini Drakaki2
1Third Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 124 62 Athens, Greece.
Journal of clinical medicine
|January 23, 2024
概括
辅助生殖技术 (ART) 增加了先天性缺陷和男性生殖道问题的风险,但对于围产期的结果是安全的. 不应阻止夫妇使用ART,临床医生提供个性化护理.
科学领域:
- 生殖医学 生殖医学
- 新生儿健康 新生儿健康
- 临床产科 临床产科
背景情况:
- 在全球范围内,不孕症影响了8000万,其中10-15%的夫妇寻求医疗帮助.
- 辅助生殖技术 (ART) 怀孕与早产,低出生体重,先天性缺陷和死亡率有关.
- 本综述评估了ART对围产和新生儿结局的影响.
研究的目的:
- 对已发表的关于辅助受孕和围产/新生儿结局的文献进行最新的审查.
- 评估ART怀孕的风险和安全性.
主要方法:
- 在PubMed/Medline,Scopus和谷歌学者中进行了搜索 (2023年7月至9月).
- 使用的关键词:辅助生殖技术,ART,试管婴儿,ICSI,早产,PTB,低出生体重,LBW,染色体缺陷,先天缺陷,hypospadias.
- 从 87 篇全文文章中选择了 31 项研究进行数据提取.
主要成果:
- 在ART怀孕中,先天性和染色体缺陷的风险更高.
- 在ART怀孕中观察到的男性生殖道缺陷和心脏缺陷的发病率增加.
- 在ART怀孕中关于早产的结果是矛盾的.
结论:
- 虽然ART与风险增加有关,但对于周围产生的结果是安全的.
- 临床医生应该意识到特定的风险,以提供个性化的护理和咨询.
- 由于相关风险,不应该阻止夫妇使用ART.
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