Birth after IVF: caesarean only?

Abstract

Introduction: Assisted reproduction technology ( ART )represents a current problem in the treatment of couple sterility ( feminine and masculin). In vitro fertilization ( IVF ) is an advanced method within human assisted reproduction. Being fond of this issue I have initiated this study. Object: The identification of birth assistance modality at the after IVF pregnant women in the casuistry of Clinica Obstetrica – Ginecologie I, Targu Mures Materialy and methods: The work represents a retrospective analytical study during the period between 01.01.2013 – 31. 01.2013 on the casuistry of SCJU Mures, No I Obstetrics and Gynecology Clinic.The inclusion criteria is formed by the assisted birth at No I Obstetrics and Gynecology Clinic,Targu Mures, during birth obtained with IVF. Their report was made at the total number of birth during the year 2013, depending on some parameters: total births 2013: 1095; total births at term: 916; total premature: 179; total vaginal births: 616; total caesarean births: 479. After IVF: total births: 13; total births at term: 6; total premature: 7; total vaginal births: 1; total caesarean births: 12. Inclusion criteria: after IVF and assisted birth at No I Obstetrics and Gynecology Clinic, Targu Mures. Results: From the total number of births after IVF:: 7,69 % vaginal births; 92,30 % caesarean births; 46,15 % at term; 53,84 % premature. Caesarean indications because of obstetrical causes: 6 ( 50% ) and human assisted reproduction ( IVF ): 6 (50% ). The rate of vaginal births after IVF: 7,69 % from the total number of assisted birth during the period of the study. Conclusions: 1.In the study group, the caesarean birth represents a rule almost. 2. The rate of vaginal births with IVF ist lower despite the multiple services dedicated to this problem 3.The prematurity ist higher possibly because of the multiple pregnancy.