Department of Obstetrics and Gynaecology, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Sahlgrenska University Hospital East, Gothenburg, Sweden.
Department of Obstetrics and Gynaecology, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Reproductive Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.
Ups J Med Sci. 2020 May;125(2):158-166. doi: 10.1080/03009734.2020.1726534. Epub 2020 Mar 3.
Over the past 40 years access and effectiveness of assisted reproductive technologies (ART) have increased, and to date more than 8 million children have been conceived after ART globally. Most pregnancies resulting from ART are uncomplicated and result in the birth of healthy children. Yet, it is well known that pregnancies following ART are more likely to be affected by obstetric complications such as hypertensive disorders in pregnancy, preterm birth, and low birth weight compared with spontaneously conceived pregnancies. ART children are also at increased risk of birth defects. The majority of the problems arise as a result of multiple pregnancies and can be reduced by transferring a single embryo, thereby avoiding multiple pregnancies. New ART technologies are constantly introduced, and monitoring of the health of ART children is crucial.
在过去的 40 年里,辅助生殖技术(ART)的可及性和有效性都有所提高。迄今为止,全球已有超过 800 万儿童通过 ART 受孕。大多数通过 ART 受孕的妊娠都很顺利,并产下了健康的儿童。然而,众所周知,与自然受孕的妊娠相比,ART 受孕后更有可能出现产科并发症,如妊娠高血压疾病、早产和低出生体重。ART 儿童也有更高的出生缺陷风险。大多数问题是由于多胎妊娠引起的,可以通过移植单个胚胎来减少,从而避免多胎妊娠。新的 ART 技术不断被引入,ART 儿童的健康监测至关重要。