In frozen embryo transfer, artificial cycles were associated with more early pregnancy loss and lower live birth rate than stimulated cycles.

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We hypothesized that an adequate BMI and inappropriate maternal weight gain are responsible for the development of fetal complications. This descriptive and retrospective study was conducted over Lebanese women who delivered at Hôtel-Dieu de France (HDF) from 01/01/2012 to 31/12/2013. Eligible criteria: Lebanese patients ≥18 years old, single pregnancy with live birth or fetal death after 20 weeks of gestation, and newborns transferred to HDF within 28 days after birth. A multiple linear regression model was created using the newborn anthropometric measurements (birth weight, birth length and head circumference) as outcomes. 1,000 Lebanese pregnant women were included (mean age: 31.5±4.4 years, mean pre-gestational weight: 62.2±11.0kg, mean BMI: 23±3.8kg/cm 2). 42% of the women had an adequate weight gain, 30% had a low weight gain and 25% had excessive weight gain (12.7±6.0kg). Mean birth weight was 3125.0±389g, 94.7% of the newborns had a normal birth weight, 2.5% had a low birth weight (<2,500g), and 2.8% macrosomia (>4,000g). Mean birth length was 49.8±2.1cm and mean head circumference 34.5±1.3cm. A significant association was detected between the pre-gestational BMI, maternal weight gain, female sex of the baby and gestational age as predictive factors on one side and all newborn anthropometric measurements as outcome measures on the other side. Gestational diabetes (B=122.35, p=0.023) and anemia (B=216.97, p=0.03) were identified as significant predictors of increased birth weight only, and maternal age was an additional predictor for increased birth length (B=0.04, p=0.010). Birth weight (B=-191.32, p=0.012) and length (B=-0.86, p=0.043) significantly decreased in case of cigarette smoking.

Objectives To describe the effect of economic collapse on prenatal care. Methods This is an observational study aiming to depict the changes that occur in prenatal care in the case of an economic collapse. Biochemical screening and ultrasound examinations, as well as medical emigration and private-public sector activity, are discussed. Results Starting October 2019, Lebanon experienced significant and unprecedented economic degradation leading to 81% degradation of the local currency, 85% inflation, and socio-economic suffering, and the situation is currently still deteriorating. The impact on the medical infrastructure has been global and hit all areas. The crisis is multifaceted, varied in the way it played out across public and private sectors, and did not affect them equally. Some were better prepared than others to cope with severe fiscal pressure mainly through the support of non-governmental organizations. All aspects of prenatal care are affected by the crisis. Conclusions Given the multiple strains on the Lebanese health care system today, the plight of antenatal care providers needs assistance to ensure adequate follow-up of pregnancies.