Preterm birth is the most important factor in neonatal morbidity and mortality. In the case of pregnancy with assisted reproductive technology (ART) we have more percentage of multiple pregnancies which is a strong reason for preterm birth and low birth weight so suggested that ART can affect neonatal outcomes. In this article we searched about neonatal outcomes in ART pregnancies.
Materials and methods
We have done a systematic review to find neonatal outcomes in ART pregnancies by related search engine such as Google Scholar, PubMed, Cochrane library and etc., with these key words: neonatal outcomes and ART pregnancies.
The majority of studies illustrated that ART is associated with multiple pregnancies and multiple pregnancies are the most important reason in neonatal mortality and morbidity due to increased preterm birth rate , low birth weight also it leads to longer duration of hospitalization and more NICU admissions. While there is controversy between these studies and the others that emphasize that although ART lead to preterm birth the neonatal outcomes is not affected by the method of pregnancy was occurred.
In today medical world, ART are used widely for infertility treatments. Although it is an effective treatment it is associated with numerous risks for mother and fetus. Multiple pregnancies are the main problem of ART treatment in infertile couples. Recent studies show that multiple pregnancies are associated with four to ten times greater prenatal mortality compared to singleton gestations. It has been proposed that infertility itself increases the risk of preterm birth and low birth weight. Considering the above issues, infertility and treatment of which are the important and vulnerable situations for mothers and neonates. Midwives as a health care providers and the first level of primary care, have an integral roles in the prenatal cares. With the better and more effective systematic prenatal care we can improve the neonatal health in ART pregnancies.