تکنیک‌های کمک باروری و پیامدهای پری‌ناتال: مقاله مروری

نوع مقاله : مروری

نویسندگان

1 دانشجوی دکتری بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 دانشیار گروه اطفال، مرکز تحقیقات توانبخشی اعصاب اطفال، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران.

چکیده

مقدمه: حدود 9% زوجین در سراسر جهان در دوره‌ای از زندگی خود با مشکل ناباروری مواجه می­شوند. روش‌های کمک باروری (ART)، درمان معمول انتخابی برای بسیاری از زوجین نابارور است که علل آن ناشی از عامل مرد یا زن و یا ایدیوپاتیک می­باشد. مروری مطالعه حاضر با هدف مقایسه پیامدهای پری‌ناتال روش­های مختلف ART با یکدیگر و با حاملگی­های خود به خودی انجام شد.
روش‌کار: این مطالعه مروری با جستجو در پایگاه اطلاعاتی PubMed، Medline، SID، Scopus وThe Cochrane Library از سال 2010 تا 2016 برای یافتن مقالات مرتبط با کلمات کلیدی مناسب مانند: تکنیک­های کمک باروری و پیامدها و بارداری انجام گرفت. مقالات انگلیسی با موضوع تکنیک­های کمک باروری و پیامد پری‌ناتال وارد مطالعه شدند و در صورت عدم دسترسی به متن کامل مقاله و نتایج غیر مرتبط، از مطالعه خارج شدند.
یافته‌ها: بر اساس نتایج مطالعات مختلف، پیامد ضعیف پری‌ناتال در حاملگی ART، از جمله زایمان زودرس، LBW، SGA و مرگ‌و‌میر پری‌ناتال، در مقایسه با حاملگی طبیعی به‌طور قابل توجهی افزایش داشت.
نتیجه‌گیری: عوامل متعددی ‌نظیر دوقلو یا یک قلو بودن حاملگی‌های ART، نوع ART استفاده شده، پروتکل درمان و علت اصلی ناباروری اولیه، پیامد پری‌ناتال را تحت تأثیر قرار می‌دهند.

کلیدواژه‌ها

عنوان مقاله [English]

Assisted Reproduction Technology and Perinatal Outcomes: A Review

نویسندگان [English]

  • Ommolbanin Zare 1
  • Farin Soleimani 2
1 PhD Student in Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Associate Professor, Department of Pediatrics, Pediatric Neuro-rehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
چکیده [English]

Introduction: Approximately 9% of couples worldwide face with infertility problem in some period of their life. Assisted reproductive technology (ART) is a common choice of treatment for many infertile couples that its case is male or female factor, or idiopathic. This review article was performed with aim to compare perinatal outcomes in different ART methods with each other and with spontaneous pregnancy.
Methods: This review article was performed by searching in databases of PubMed, Medline, SID, Scopus, and The Cochrane Library from 2010 to 2016 to find the related articles with appropriate keywords such as Assisted reproductive techniques, Outcomes, Pregnancy). The English articles on the subject of assisted reproductive techniques and perinatal outcomes were included in the study and in the case of no access to the full text of the article and the unrelated results were excluded from the study.
Results: According to the results of different studies, poor perinatal outcomes in ART pregnancies, including preterm birth, LBW, SGA and perinatal mortality were significantly higher in ART pregnancies compared with normal pregnancy.
Conclusion: Multiple factors such as singleton or twin ART pregnancies, the type of used ART, treatment protocol, and the main cause of initial infertility affect perinatal outcomes.

کلیدواژه‌ها [English]

  • Assisted reproductive techniques
  • outcomes
  • pregnancy

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مجله زنان، مامایی و نازایی ایران
دوره 20، ویژه نامه
آذر 1396
صفحه 26-34

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