Retinopathy of Prematurity and Assisted Reproductive Technology: Is There an Association?
| Autor: | Alaa Abdulhamid Alsammahi, Ahmed Basheikh |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Birth weight premature 03 medical and health sciences 0302 clinical medicine Ophthalmology medicine multiple births Risk factor gestational age Original Research Pregnancy Assisted reproductive technology assisted conception Obstetrics business.industry Incidence (epidemiology) Gestational age Clinical Ophthalmology Retinopathy of prematurity medicine.disease eye diseases ROP 030221 ophthalmology & optometry Multiple birth business 030217 neurology & neurosurgery ART |
| Zdroj: | Clinical Ophthalmology (Auckland, N.Z.) |
| ISSN: | 1177-5483 1177-5467 |
| Popis: | Alaa Alsammahi, Ahmed Basheikh Department of Ophthalmology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaCorrespondence: Alaa AlsammahiDepartment of Ophthalmology, Faculty of Medicine, King Abdulaziz University, P.O. Box 31135, Jeddah 21497, Saudi ArabiaTel +966 590-205-901Email samahi779@gmail.comPurpose: This study aimed to determine the incidence of retinopathy of prematurity (ROP) and to assess whether assisted reproductive technology (ART) is a risk factor for ROP independent of the generation of multiple births by determining the occurrence and severity of ROP and the need for treatment. We will also evaluate other risk factors associated with the development of ROP among preterm infants.Patients and Methods: We conducted a retrospective chart review for all premature infants who were screened for ROP according to the screening guidelines of the American Academy of Ophthalmology and born at King Abdulaziz University Hospital from 2015 to 2019. In addition to ophthalmological results, data on gestational age (GA), birth weight (BW), type of pregnancy (singleton or multiple), type of conception (natural or ART), infantile factors, and maternal factors were recorded.Results: A total of 229 preterm babies met our criteria. The mean GA at birth was 29.35 weeks. Notably, 175 neonates were conceived naturally and 54 were conceived by ART. Furthermore, 33 infants in the natural conception group were products of multiple pregnancies, as were 49 infants in the ART group. ROP was noted in 96 of 229 infants (41.92%). No significant difference was found in the occurrence of ROP between multiple neonates in the natural and ART groups. However, ART birth babies in general were significantly associated with the development of ROP (P=0.045). On multiple regression analysis, early GA, low BW, and extended oxygen therapy were the variables most significantly associated with ROP (P≤ 0.001).Conclusion: In our sample, ART in multiple birth babies per se did not seem to be a risk factor for ROP. However, ART babies were more prone to develop ROP than natural conception birth babies, which seemed to be more severe.Keywords: ROP, assisted conception, ART, premature, multiple births, gestational age |
| Databáze: | OpenAIRE |
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