“…Assisted reproductive technology has been associated with adverse pregnancy outcomes, including earlier delivery of pregnancies, low birth weight, very low birth weight, preterm delivery, and other potential complications associated with abnormal placentation (15,16), but not cytogenetic genetic abnormalities, in AMA women compared with spontaneous conceptions (17). More recently, studies have emerged that the underlying infertility and time to pregnancy are risk factors for adverse pregnancy outcomes, independent of maternal age (18).…”