Publication details

Specifika péče o děti narozené po asistované reprodukci

Title in English The specific care about children born with assisted reproduction
Authors

HRUBÁ Drahoslava GREIFFENEGGOVÁ Liana

Year of publication 2017
Type Article in Periodical
Magazine / Source Československá pediatrie
MU Faculty or unit

Faculty of Medicine

Citation
Field Other medical specializations
Keywords assisted reproduction; pregnancy complications; cardiovascular risk
Description The usage of the Assisted Reproductive Techniques (ART) is an exponentially growing trend worldwide and it is estimated, that especially in developed countries, 2–10% of newborns are currently being conceived in vitro. Epidemiologic and clinical studies have described the possible long-term deleterious effects on the health and welfare of both mothers threated with ART and their offsprings. We have evidence that conception via ART increasis the risk of serious pregnancy complications (especially preeclampsia, pre-term birth, low birth weight) and modification of the cardiovascular phenotype towards higher risk of arterial hypertension, cardiovascular diseases, diabetes mellitus and pulmonary hypertension in childhood and adulthood. Both ART and preeclampsia are considered to be new inclusions in the list of cardiovascular risk factors. Even if the absolute risk seems small, it is necessary to formulate a plan of the specific care, from periconception to the puerperium and follow-up years after delivery for obstetricians and primary care physicians to minimise maternal and infant morbidity and preterm mortality.

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