In vitro fertilisation in Sweden: obstetric characteristics, maternal morbidity and mortality

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Källén, BengtLund University,Lunds universitet,Tornbladinstitutet,Forskargrupper vid Lunds universitet,Tornblad Institute,Lund University Research Groups,Tornblad Institute Lunds Universitet (författare)

In vitro fertilisation in Sweden: obstetric characteristics, maternal morbidity and mortality

Artikel/kapitelEngelska2005

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Wiley,2005

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LIBRIS-ID:oai:gup.ub.gu.se/49628
https://gup.ub.gu.se/publication/49628URI
https://lup.lub.lu.se/record/144630URI
https://doi.org/10.1111/j.1471-0528.2005.00745.xDOI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-30862URI

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Språk:engelska

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Ämneskategori:art swepub-publicationtype

Anmärkningar

OBJECTIVE: To investigate obstetric characteristics, maternal morbidity and mortality among Swedish women giving birth after in vitro fertilisation (IVF) treatment. DESIGN: Register study. SETTING: Nationwide study in Sweden. SAMPLE: All women known to have had IVF in Sweden 1982-2001. METHODS: Using Swedish health registers, women who had given birth after IVF were identified from all Swedish IVF clinics and compared with all women who gave birth. Analysis was performed with the Mantel-Haenszel technique. MAIN OUTCOME MEASURES: Diagnoses during pregnancy, at delivery and at re-admission within 60 days after delivery and risk of cancer. RESULTS: IVF women had an increased risk of bleeding in early pregnancy [odds ratio (OR) = 4.59, 95% confidence interval (95% CI) 4.08-5.15] and of ovarian torsion during pregnancy (OR = 10.6, 5.69-10.7). They were also more likely to encounter pre-eclampsia (OR = 1.63, 1.53-1.74), placental abruption (2.17, 1.74-2.72), placenta praevia (3.65, 3.15-4.23), bleeding in association with vaginal delivery (1.40, 1.38-1.50) and premature rupture of membranes (PROM) (2.54, 2.34-2.76). Interventions including caesarean sections (1.38, 1.32-1.43) and induction of labour (1.37, 1.29-1.46) in singleton pregnancies was more frequent. The type of IVF method had little effect on these results, but there was a tendency for women who had received intra-cytoplasmatic sperm injection (ICSI) to have slightly fewer complications than women having standard IVF. There was a significant decrease in cancer risk after IVF (0.79, 0.69-0.91) but a suggested increase in the risk of ovarian cancer both before (2.70, 1.49-4.91) and after (2.08, 1.15-3.76) IVF. No change in mortality was observed. CONCLUSIONS: Women treated with IVF had an increased obstetric morbidity. This seems to contribute little to the well-known increased risk of preterm delivery.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
Adult
Cause of Death
Delivery
Obstetric/statistics & numerical data
Female
Fertilization in Vitro/*mortality
Fetal Membranes
Premature Rupture/mortality
Hospitalization/statistics & numerical data
Humans
Maternal Mortality
Ovarian Hyperstimulation Syndrome/mortality
Pregnancy
Pregnancy Complications/*mortality
Premature Birth/mortality
Registries
Risk Factors
Sweden
MEDICINE

Biuppslag (personer, institutioner, konferenser, titlar ...)

Finnström, Orvar,1938-Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Pediatrik,Barn- och ungdomskliniken i Linköping(Swepub:liu)orvfi31 (författare)
Nygren, K GIVF clinic Sofiahemmet, Stockholm (författare)
Otterblad Olausson, PCentre for Epidemiology Stockholm (författare)
Wennerholm, Ulla-Britt,1948Gothenburg University,Göteborgs universitet,Institutionen för kvinnors och barns hälsa, Avdelningen för obstetrik och gynekologi,Institute for the Health of Women and Children, Dept of Obstetrics and Gynaecology,Avd för Obstetrik och Gynekologi Sahlgrenska sjukhuset, Göteborg(Swepub:gu)xwennu (författare)
TornbladinstitutetForskargrupper vid Lunds universitet (creator_code:org_t)

Sammanhörande titlar

Ingår i:Bjog: Wiley112:11, s. 1529-1535
Ingår i:BJOG: An International Journal of Obstetrics & Gynaecology: Wiley112:11, s. 1529-15351471-05281470-0328

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Av författaren/redakt...: Källén, Bengt; Finnström, Orvar ...; Nygren, K G; Otterblad Olauss ...; Wennerholm, Ulla ...

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