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Original Research
Obstetric and neonatal outcomes in women aged 40 years or older after in vitro fertilization
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Medical Faculty University of Belgrade, University Hospital of Gynecology and Obstetrics Narodni Front, Belgrade, Serbia
Clin. Exp. Obstet. Gynecol. 2017, 44(2), 208–215;
https://doi.org/10.12891/ceog3381.2017
Published: 10 April 2017
Abstract
Purpose of investigation: The aim of this study was to determine the rate of complications in pregnancy and during delivery, as well as neonatal outcomes, in women who underwent in vitro fertilization (IVF) and who are 40 years of age or older. Materials and Methods: This was a prospective study. The study group consisted of 29 women who underwent IVF. The control group consisted of 32 women who had a spontaneous pregnancy. Results: Pregnancy complications occurred in 86.21% of women in the study group, and in 46.87% of women in the control group. The proportion of cesarean sections (CS) was 84.62% in the study group, and 21.87% in the control group. Birth weight < 1,500 grams and < 2,500 grams was present in 17.16% and 22.86% of newborns in the study group, respectively. In the control group, birth weight < 1,500 grams and < 2,500 grams was present in 5.55% and 8.33% of newborns, respectively. Neonatal intensive care unit admissions included 22.86% newborns from the study group and 8.33% from the control group. Conclusion: Pregnancy, delivery, and neonatal complications were more frequent in the study (IVF) group.
Keywords
In vitro fertilization
Pregnancy
Delivery
Newborn