بررسی پارامترهای رشد در نوزادان متولد شده از روش لقاح خارج رحمی در مراکز درمان ناباروری معتضدی و جهاد دانشگاهی شهر کرمانشاه طی سال‌های 1401-1400

نوع مقاله : اصیل پژوهشی

نویسندگان

1 استاد گروه زنان و مامایی، واحد توسعه تحقیقات بالینی بیمارستان امام رضا (ع)، دانشکده پزشکی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

2 استادیار گروه بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

3 دستیار تخصصی زنان و زایمان، واحد توسعه تحقیقات بالینی بیمارستان امام رضا (ع)، دانشکده پزشکی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

4 کارشناس ارشد آمار، واحد توسعه تحقیقات بالینی بیمارستان امام رضا (ع)، دانشکده پزشکی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

5 کارشناس ارشد مشاوره در مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

6 استاد گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

چکیده

مقدمه: با وجود اینکه در حال حاضر از روش‌های کمک باروری به‌طور گسترده در درمان ناباروری انسان استفاده می‌شود، اما همچنان نتایج مطالعات در مورد رشد کودکان پس از درمان با این روش‌ها از جمله IVF متناقض است، لذا مطالعه حاضر با هدف تعیین پارامترهای رشد (وزن، قد و دور سر) در نوزادان متولد شده از روش IVF در مراکز درمان ناباروری معتضدی و جهاد دانشگاهی شهر کرمانشاه انجام شد.
روش‌کار: این مطالعه تحلیلی بر روی 105 نوزاد ترم متولد شده در دو گروه از درمان ناباروری IVF و حاملگی طبیعی طی سال­ های 1401-1400 انجام شد. تمامی مراحل IVF در مراکز درمان ناباروری معتضدی و جهاد دانشگاهی شهر کرمانشاه صورت گرفت، سپس مادران و نوزادان آنان تا پس از تولد پیگیری شدند. اطلاعات نوزادان متولد شده از نظر قد، وزن و دور سر بررسی گردید و در یک چک‌لیست که ابزار اصلی و اختصاصی جهت جمع‌آوری اطلاعات مطالعه بود، ثبت گردید. تجزیه و تحلیل داده­ ها با استفاده از نرم‌افزار آماری SPSS (نسخه 20) و آزمون‌های کای اسکوئر و یو من‌ویتنی انجام شد. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
یافته­ ها: میانگین وزنی نوزادان (007/0=p) و همچنین میانگین قد نوزادان (021/0=p) در گروه حاملگی طبیعی به‌طور معناداری بیشتر از گروه نوزادان حاصل از درمان ناباروریIVF بود، اما اختلاف آماری چندانی از نظر اندازه دور سر مشاهده نشد (345/0=p).
نتیجه­ گیری: اندازه قد و وزن نوزادان حاصل از لقاح خارج رحمی کمتر از نوزادان با حاملگی طبیعی بود، اما از نظر اندازه دور سر تفاوت معنی‌داری مشاهده نشد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The growth parameters in neonates born by in vitro fertilization method in Motazedi and Jahad University Infertility Treatment Centers in Kermanshah during 2021-2022

نویسندگان [English]

  • Negin Rezavand 1
  • Mastaneh Kamravamanesh 2
  • Zahra Jamalpour 3
  • Maryam Hematti 4
  • Bita Ashabi 5
  • Mansour Rezae 6
1 Professor, Department of Obstetrics and Gynecology, Clinical Research Development Center of Imam Reza Hospital, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
2 Assistant Professor, Department of Reproductive Health, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
3 Resident, Department of Obstetrics and Gynecology, Clinical Research Development Center of Imam Reza Hospital, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
4 M.Sc. of Statistics, Clinical Research Development Center of Imam Reza Hospital, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
5 M.Sc. of Midwifery Counseling, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
6 Professor, Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
چکیده [English]

Introduction: Although currently assisted reproductive methods are widely used in the treatment of human infertility, there are still contradictory results of studies on the growth of children after treatment with these methods, including IVF. Therefore, the present study was performed with aim to determine the growth parameters (weight, height and head circumference) in neonates born by IVF in Motazedi and Jahad University Infertility Treatment Centers in Kermanshah city.
Methods: This analytical study was conducted on 105 term neonates born in two groups of IVF infertility treatment and normal pregnancy during 2021-2022. All stages of IVF were performed in Motazedi and Jahad University Infertility Treatment Centers in Kermanshah, and then the mothers and their neonates were followed up until after birth. The information of newborns was checked in terms of height, weight and head circumference and recorded in a checklist which was the main and exclusive tool for collecting the study information. Data analysis was done using SPSS statistical software (version 20) and chi-square and Mann-Whitney U tests. P<0.05 was considered statistically significant.
Results: The results of the study showed that the mean weight of the newborns (p=0.007) and the mean height of the newborns (p=0.021) in the normal pregnancy group were significantly higher than the IVF infertility treatment group. However, no significant statistical difference was observed in terms of head circumference (p=0.345).
Conclusion: The height and weight of neonates born by IVF were lower than those born with normal pregnancy, but no significant difference was observed in terms of head circumference.

کلیدواژه‌ها [English]

  • Assisted reproductive techniques
  • In vitro fertilization
  • Neonate's head circumference
  • Neonate's height
  • Neonate's weight

مراجع

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مجله زنان، مامایی و نازایی ایران
دوره 27، شماره 2
اردیبهشت 1403
صفحه 10-16

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