Neonatal outcome following new assisted reproductive technology regulations in Turkey-a nationwide multicenter point prevalence study

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dc.contributor.authorKultursay N.
dc.contributor.authorYalaz M.
dc.contributor.authorKoroglu O.A.
dc.date.accessioned2019-10-27T08:21:14Z
dc.date.available2019-10-27T08:21:14Z
dc.date.issued2015
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective: In March 2010, a new legislation about assisted reproductive technology (ART) activities, favoring single embryo transfer, was introduced in Turkey. Consequences of new regulations on neonatal outcome have not been evaluated in multicenter studies yet. In this study, our aim was to evaluate neonatal outcome of infants from medically assisted reproduction (MAR) pregnancies in the post-legislation era. Methods: A point prevalence study was conducted at 51 centers in Turkey on 1 April 2013. Data about fertility treatments and neonatal characteristics were evaluated for "live births" (Group 1) and "patients being cared in the NICU" (Group 2). Results: Seventeen (4%) of 420 infants in group 1, and 89 (8.1%) of 1094 infants in group 2 were born after MAR pregnancies. The ratio of multiple births in MAR pregnancies was still very high as 47.1% for group 1, 69.1% for group 2 infants. MAR babies constituted 9.9% of infants in Level 3 NICUs and 7.6% infants in Level 2 NICUs. MAR was associated with increased risk of multiple births and prematurity. Conclusions: After the new legislation, multiple birth rates are still high in MAR pregnancies, resulting in unfavorable neonatal outcomes. Efforts to decrease multiple birth rates should be encouraged. © 2014 Informa UK Ltd. All rights reserved.en_US
dc.identifier.doi10.3109/14767058.2014.908844en_US
dc.identifier.endpage209en_US
dc.identifier.issn1476-7058
dc.identifier.issue2en_US
dc.identifier.pmid24670237en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage204en_US
dc.identifier.urihttps://doi.org/10.3109/14767058.2014.908844
dc.identifier.urihttps://hdl.handle.net/11454/25960
dc.identifier.volume28en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherInforma Healthcareen_US
dc.relation.ispartofJournal of Maternal-Fetal and Neonatal Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAssisted reproductive technologyen_US
dc.subjectLegislationen_US
dc.subjectMedically assisted reproductionen_US
dc.subjectMorbidityen_US
dc.subjectMultiple birthsen_US
dc.subjectNewbornen_US
dc.titleNeonatal outcome following new assisted reproductive technology regulations in Turkey-a nationwide multicenter point prevalence studyen_US
dc.typeArticleen_US

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