A Retrospective Study of Obstetrical Outcome in Art and Spontaneous Pregnancies

Abstract

Infertility tends to be one of the emerging health concern with today’s world .It is a common condition affecting approx 8-9% of reproductive age group. Infertility diagnosis is divided into etiologies of ovulatory dysfunction, tubal endometriosis, and uterine, unexplained and male factors. Certain type of infertility such as severe male factors and complete tubal obstruction will require ART. Objective:To study obstetrical outcome in pregnancy conceived with assisted reproductive techniques . Materials and Methods:A Retrospective study was done and data was collected of patients, who have conceived through assisted reproductive techniques admitted and delivered at tertiary care hospital from January 2017 to June 2017.Results: They were anaemia 25(24.27%) and 17(16.19%) in ART and spontaneous conception respectively (p- value<0.147), hypothyroid 40(38.83%) and 14(13.33%) in ART and spontaneous conception respectively (p- value<0.0001, highly significant), chronic hypertension 27(26.21%) and 4(3.81%) in ART and spontaneous conception respectively (p- value<0.0001, highly significant), DM Type-2 10(9.71%) and 0(0.00%) in ART and spontaneous conception respectively (p- value<0.280, not significant). Study also showed that various obstetrical complications common in ART group. They were preterm birth, PIH, Polyhydramnios, Placenta previa, APH, Oligohydromnios, PPROM, GDM, Multiple pregnancies.Conclusion: There was a significant association between obstetrical complications with age. Maternal pre-existing disease like anaemia, chronic hypertension, hypothyroidism and diabetes mellitus should be treated before conception, to improve maternal and perinatal outcome