- Features of the course of pregnancy and prenatal outcomes in patients with reduced ovarian response in assisted reproductive technology programs
Features of the course of pregnancy and prenatal outcomes in patients with reduced ovarian response in assisted reproductive technology programs
HEALTH OF WOMAN. 2018.10(136):96–100; doi 10.15574/HW.2018.136.96
Strelko G. V.
Medical Center «IVMED Rodynne dzherelo», Kyiv
The objective: a retrospective analysis of the course of pregnancy and perinatal outcomes in women with a reduced response to stimulation in assisted reproductive technology (ART) programs in comparison with spontaneous pregnancies.
Materials and methods. We examined 278 patients with infertility with a reduced response to stimulation (poor responders) according to the 2011 Bologna criteria, with further retrospective studies of the course of pregnancy and perinatal outcomes, such as preterm birth, low birth weight, gestational diabetes, pre-eclampsia, in 50 patients whose pregnancy was achieved using their own oocytes after developed programs of controlled ovarian stimulation, and in 87 pregnant women after using donor oocytes (TO). The course of the gestational period in women after ART programs has been compared with over 35 spontaneous pregnancies.
Results. The course of the first trimester-induced pregnancy with both own oocytes and DO is accompanied by a large percentage of complications compared with spontaneous pregnancies, namely, the threat of termination of pregnancy, early toxicosis and early loss of pregnancies. As for the ІІ and ІІІ trimesters of pregnancy, the course of induced pregnancy was accompanied by a smaller percentage of complications in comparison with the spontaneous one. However, the frequency of preterm labor in patients — poor responders after applying ART programs — was statistically significantly higher than in women with spontaneous pregnancies.
Conclusion. Women who are poor respondents with induced pregnancy are at high risk for the frequency of complications in the first trimester of gestation and for cases of premature birth with the birth of children with low body weight.
Key words: women – poor responders, pregnancy, perinatal outcomes, assisted reproductive technologies.
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