Sf13.2 Children Born After Assisted Reproduction: The Essential Role Of Family Doctors

Author(s): 
L. Salmaso, F. Zambon, M. Mazzucato, L. Visonà Dalla Pozza, P. Facchin
Epidemiology and Community Medicine Unit, Padua University, Padua, Italy
Text: 
Since the first baby was born after in vitro fertilisation in 1978, new methods have been developed to help couples with infertility problems. The number of these couples is likely to increase because they decide to have a child later and later and because the supply of these techniques is rising. For these reasons family doctors will meet an increasing number of couples worried about their fertility problems who need right information on fertility treatments (ART). ART programmes do not report success rate consistently because it varies according to the definition used and it is likely that clinics provide information presenting their units in a positive light. For a couple it is more relevant to express success as single, healthy “take home baby” rate. In this study we present a detailed analysis of ART children and we compare them to naturally conceived ones. We used data from Birth Certificates and Hospital discharge records. All newborns in Veneto region during the years 2002-2004 were considered and a prospective cohort study was performed. In Veneto Region about 2% of all babies are born after ART. They have an increased risk of prematurely (25% vs 7%), low birth weight (22% vs 6%) and congenital malformations (7% vs 5%). The risk remains even if the analysis takes into account singleton, maternal age, previous conceptions, invasive prenatal diagnosis. Family doctors have to be aware of such results and indeed play a crucial role in orienting couples towards advantages and disadvantages of fertility treatments.
Literature: 
SF13.2 CHILDREN BORN AFTER ASSISTED REPRODUCTION: THE ESSENTIAL ROLE OF FAMILY DOCTORS