Causes of patients’ obstetric complications after ART

Abstract

Chronic placental insufficiency remains a major cause of perinatal morbidity and mortality. In this regard, prediction of this pregnancy complications becomes particularly relevant. Currently, the frequency of pregnancy as result of assisted reproductive technology (ART) increases among the population. Pregnancies after ART administration compare to naturally occurred are accompanied by a higher risk of miscarriage as well as the formation of placental insufficiency. Older women with endocrine and physical disorder participate in the ART programs most frequently.
 The aim of our study was to investigate the course of pregnancy, after ART administration, selection groups threatened by the development of placental insufficiency. 261 medical records of women with singleton pregnancies after ART have been studied. It was the main group. 167 women had a chronic placental insufficiency. There were allocated two groups of pregnant women: group I – 86 patients with placental insufficiency and preeclampsia, group II – 81 women with placental insufficiency indeed. The comparison group consisted of 30 women without infertility with a normal singleton pregnancy. The development of placental insufficiency in the main group (after ART) depends on a large causes of somatic pathology due to age of pregnant women as well. Therefore, patients after ART have to allocate in the high risk group of developing preeclampsia and placental insufficiency.

The influence of concomitant extragenital pathology on the success of assisted reproductive technology procedures in women (according to clinics of the Volgograd region)

“…По данным Всемирной организации здравоохранения (ВОЗ), частота бесплодия в мире в настоящее время составляет 10-15 % и не имеет тенденции к снижению [1]. Согласно последним клиническим рекомендациям Российской Федерации по лечению и диагностике женского бесплодия, доля бесплодных браков в России колеблется от 17,2 до 24 % в зависимости от региона, причем женский фактор бесплодия значитель-но превалирует над мужским.…”