Pathology of the Placenta in Singletons after Assisted Reproductive Technology Compared to Singletons after Spontaneous Conception: A Systematic Review

被引:0
|
作者
Belak, Urska [1 ,2 ]
Pinter, Bojana [2 ,3 ]
Ban Frangez, Helena [2 ,3 ]
Velikonja, Mojca [4 ]
Korosec, Sara [2 ,3 ,5 ]
机构
[1] Gen Hosp Celje, Dept Gyneacol & Obstet, Celje, Slovenia
[2] Univ Ljubljana, Fac Med, Ljubljana, Slovenia
[3] Univ Med Ctr Ljubljana, Dept Human Reprod, Div Obstet & Gyneacol, Ljubljana, Slovenia
[4] Univ Ljubljana, Fac Med, Dept Pathol, Ljubljana, Slovenia
[5] Univ Med Ctr Ljubljana, Dept Human Reprod, Div Obstet & Gynaecol, Slajmerjeva 3, Ljubljana 1000, Slovenia
关键词
Placenta; pathology; assisted reproductive technology; embryo transfer; in vitro fertilization; ADVERSE PREGNANCY OUTCOMES; EMBRYO-TRANSFER; OBSTETRIC OUTCOMES; BIRTH-WEIGHT; IVF; RISK;
D O I
10.1080/15513815.2022.2157228
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Background: We reviewed the literature comparing the pathological characteristics of singleton births conceived after assisted reproductive technology (ART) with those after spontaneous conception. Methods: We reviewed PubMed, EMBASE, Ovid MEDLINE, Google Scopus, Scholar, Cochrane Central Register of Controlled Trials and the Web of Science for the previous 10 years, up to November 2022. Results: Four eligible studies included 3445 placentas, 806 after ART (IVF/ICSI). Placentas after ART differed in frequency of retroplacental and marginal hematomas (p = 0.04), increased thickness (p = 0.02), higher overall occurrences of vascular and anatomical pathology (p < 0.001) and more frequent marginal (p = 0.001) and membranous (p = 0.02) umbilical cord insertion than placentas from non-ART pregnancies. Conclusion: Further research is needed to determine the extent to which these placental changes in ART pregnancies alter its function and pregnancy outcome.
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页码:438 / 449
页数:12
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