Neonatal outcome following new assisted reproductive technology regulations in Turkey - a nationwide multicenter point prevalence study
| Autor: | Nilgun Kultursay, Mehmet Yalaz, Ozge Altun Koroglu, Caner, İbrahim |
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| Přispěvatelé: | Kultursay, N, Yalaz, M, Koroglu, OA, Sakarya Üniversitesi/Tıp Fakültesi/Dahili Tıp Bilimleri Bölümü, Caner, İbrahim |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Reproductive Techniques Assisted Turkey Cross-sectional study medicine.medical_treatment media_common.quotation_subject Prevalence Fertility Multiple Birth Offspring Government regulation Pregnancy medicine Humans Birth Rate media_common Assisted reproductive technology business.industry Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Obstetrics & Gynecology medicine.disease Cross-Sectional Studies Pediatrics Perinatology and Child Health Government Regulation Premature Birth Female Pregnancy Multiple business Infant Premature |
| Zdroj: | The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 28(2) |
| ISSN: | 1476-4954 |
| Popis: | In March 2010, a new legislation about assisted reproductive technology (ART) activities, favoring single embryo transfer, was introduced in Turkey. Consequences of new regulations on neonatal outcome have not been evaluated in multicenter studies yet. In this study, our aim was to evaluate neonatal outcome of infants from medically assisted reproduction (MAR) pregnancies in the post-legislation era.A point prevalence study was conducted at 51 centers in Turkey on 1 April 2013. Data about fertility treatments and neonatal characteristics were evaluated for "live births" (Group 1) and "patients being cared in the NICU" (Group 2).Seventeen (4%) of 420 infants in group 1, and 89 (8.1%) of 1094 infants in group 2 were born after MAR pregnancies. The ratio of multiple births in MAR pregnancies was still very high as 47.1% for group 1, 69.1% for group 2 infants. MAR babies constituted 9.9% of infants in Level 3 NICUs and 7.6% infants in Level 2 NICUs. MAR was associated with increased risk of multiple births and prematurity.After the new legislation, multiple birth rates are still high in MAR pregnancies, resulting in unfavorable neonatal outcomes. Efforts to decrease multiple birth rates should be encouraged. |
| Databáze: | OpenAIRE |
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