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Background — This article is dedicated to the study of the effect of medical and social factors on the health of children born as a result of assisted reproductive technology (ART) in late reproductive age (LRA) women. Every year, there is a deterioration in the reproductive health of married couples, an increase in the frequency of infertile marriages, as well as an increase in the number of women over 35 years of age who gave birth to children as a result of ART. Material and Methods — The study included 648 children (4-6 years old) born as a result of ART by women aged 35-45 years (the main group: MG). All children resided in the city of Samara. The control group (CG) included 648 children (4-6 years old) who were born from spontaneous conception and met the following criteria: their mother’s age at birth exceeding 35 years, their age from 4 to 6 years, born from a singleton full-term (≥37 weeks of gestation) pregnancy. The main distinguishing feature between the MG and CG was birth after using ART. The children’s health was assessed comprehensively, based on the results of physical and medical examinations, and a study of the child’s development history. The course of pregnancy and childbirth, along with maternal morbidity, based on outpatient medical records, as well as their social and hygienic characteristics based on questionnaire data, were investigated. The following research methods were employed: sociological (questionnaire), direct observation, analytical, and statistical. Results — We assessed children’s health as follows: the subgroup with good health included 18.0% of children in the MG vs. 21.9% in the CG (p=0.055). The proportion of the subgroup of children with poor health was 56.2% in the MG vs. 36.1% in the CG (p=0.048). Conclusion — We identified 18 significant risk factors that negatively affected the health of children born as a result of ART in LRA women.
Background — This article is dedicated to the study of the effect of medical and social factors on the health of children born as a result of assisted reproductive technology (ART) in late reproductive age (LRA) women. Every year, there is a deterioration in the reproductive health of married couples, an increase in the frequency of infertile marriages, as well as an increase in the number of women over 35 years of age who gave birth to children as a result of ART. Material and Methods — The study included 648 children (4-6 years old) born as a result of ART by women aged 35-45 years (the main group: MG). All children resided in the city of Samara. The control group (CG) included 648 children (4-6 years old) who were born from spontaneous conception and met the following criteria: their mother’s age at birth exceeding 35 years, their age from 4 to 6 years, born from a singleton full-term (≥37 weeks of gestation) pregnancy. The main distinguishing feature between the MG and CG was birth after using ART. The children’s health was assessed comprehensively, based on the results of physical and medical examinations, and a study of the child’s development history. The course of pregnancy and childbirth, along with maternal morbidity, based on outpatient medical records, as well as their social and hygienic characteristics based on questionnaire data, were investigated. The following research methods were employed: sociological (questionnaire), direct observation, analytical, and statistical. Results — We assessed children’s health as follows: the subgroup with good health included 18.0% of children in the MG vs. 21.9% in the CG (p=0.055). The proportion of the subgroup of children with poor health was 56.2% in the MG vs. 36.1% in the CG (p=0.048). Conclusion — We identified 18 significant risk factors that negatively affected the health of children born as a result of ART in LRA women.
The health status of children under one year of age remains the most important problem of modern health care and prospectively determines the potential of the population. According to the data of the Federal statistical observation with the calculation of extensive, intensive indicators and rates of increase / decrease, the study of the main trends in the incidence of children in the first year of life in the Russian Federation for 2016–2019 revealed a decrease in the overall incidence of children in this age group. The morbidity structure remains unchanged and the first three places are occupied by the diseases of the respiratory system (48.0%), certain conditions of the perinatal period (10.21%), and diseases of the nervous system (9.35%).
The article describes some characteristics of the internal image of pregnancy in women with a possible miscarriage during a complicated pregnancy. The study involved 230 women from three groups: those with an extragenital pathology, those with an HIV infection, and those with an IVF pregnancy. The experiment employed the following psychological methods: The Beck Depression Inventory; Self-Assessment of Psychological States (H. Aysenk); The Questionnaire of reproductive motives "My Pregnancy" (O. Magdenko); The Semantic Differential Scale (C. Osgud), which reveals the attitude of women towards such concepts as "Me myself", "My Pregnancy", "My Child", "My Future"; the "Quality of Life" Questionnaire (SF-26). The authors indentified the common and specific characteristics of the internal image of pregnancy for each group. On the level of bodily experience, all the women experienced a sense of restrictions during physical exercise and social contacts. For the extragenital pathology group, the pro-life choice was connected with achieving a new social status. The HIV group revealed a depressive state related to pregnancy. For the IVF group, pregnancy was connected with unfulfilled needs: in love, care, attention, acceptance, desire to change their lives, overcome past failures, etc. The results can be used in psychological practice in antenatal clinics, maternity homes, centers of reproductive technologies, and AIDS prevention and treatment centers.
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