目的:辅助生殖技术的使用稳步增长,然而,在普通人群和不孕症患者之间仍然存在多种社会经济和人口差异。此外,与非ART同行相比,母亲和婴儿的不良结局发生率更高.
方法:使用国际疾病分类,第九次修订(ICD-9)编码,我们在2009年对加利福尼亚州所有ART构思的分娩进行了回顾性回顾.将总共551例ART妊娠与非ART妊娠进行了比较(n=406,885)。
结果:大多数ART分娩属于高龄(AMA)和高加索或亚洲种族的女性。几乎一半的ART分娩是多胎妊娠。与非ART交付相比,ART妊娠与前置胎盘有关,胎盘早剥,轻度先兆子痫,胎儿生长受限.
结论:虽然无法检测所有结果,我们的研究强调了ART和非ART妊娠之间的显著种族和民族差异.
OBJECTIVE: Use of assisted reproductive technology has increased steadily, yet multiple socioeconomic and demographic disparities remain between the general population and those with infertility. Additionally, both mothers and infants experience higher rates of adverse outcomes compared to their non-ART counterparts.
METHODS: Using International Classification of Diseases, Ninth Revision (ICD-9) coding, we performed a retrospective review of all ART-conceived deliveries in California in 2009. A total of 551 ART pregnancies were compared to Non-ART pregnancies (n=406,885).
RESULTS: The majority of ART deliveries belonged to women of advanced maternal age (AMA) and Caucasian or Asian race. Nearly half of all ART deliveries were multiple gestations. Compared to non-ART deliveries, ART pregnancies were associated with placenta previa, placental abruption, mild preeclampsia, and fetal growth restriction.
CONCLUSIONS: While not powered to detect all outcomes, our study highlights significant racial and ethnic disparities between ART and Non-ART pregnancies.