A Study of Various Obstetrics Outcomes and Complications among In-Vitro Fertilization (IVF) Pregnancies

ABSTRACT

Introduction: Use of In-vitro fertilization (IVF) has raisedmajor concern about the outcome of resulting pregnancies. InVitro Fertilization and Embryo Transfer is the most advancedtechnique of infertility treatment though management of thesepregnancies is not that easy as the couples and treating doctorshave undue concerns and apprehensions about the outcomesof such pregnancies.Material and Methods: Obstetrics outcomes in the womenconceived through IVF and the neonatal characteristics of thelive- born infants at Army Hospital R & R were analyzed inthis study between Jan 2017 to Dec 2017.Results: IVF pregnancies increased the incidence of ectopicpregnancy and multifetal gestation. The rate of cesareansection was also higher in IVF pregnancies. While a largenumber of cases delivered vaginally, multiple pregnancies andpreterm labour were more frequent in the study group. Afterfirst trimester they can be managed as a normal pregnancy.Conclusion: Infertility cases are usually older, and this isone of the reasons for increased complications in pregnancy.Multiple pregnancies are the most prevalent complicationin these pregnancies. Risk of ectopic pregnancy has beenreported to be at least 2-fold higher in In-vitro fertilizationand Embryo- Transfer (IVF-ET) pregnancies.