Neurodevelopmental outcomes of singleton conceived from fresh and frozen embryo transfer compared with naturally conceived /
/ التطور العصبي للمولود الفردي الناتج من الأجنة الحديثة والأجنة المجمدة مقارنة بالحمل الطبيعي
by Sally Ashraf Mohamed Asker ; Supervisors Prof. Dr. Naglaa Ahmed Zaky, Prof. Dr. Faten Hassan Abdelazeim, Prof. Dr. Alaa Wageh Osman.
- 169 pages : illustrations ; 25 cm. + CD.
Thesis (Ph.D)-Cairo University, 2023.
Bibliography: pages 140-162.
Background: Assisted Reproductive Technologies were first developed nearly four decades ago to aid in reducing the burden of infertility. Today, Assisted Reproductive Technologies is accountable for greater than 4 percent of all live births. While most of Assisted Reproductive Technologies-born infants are healthy, concerns about the health of Assisted Reproductive Technologies born infants have emerged recently. There is an elevated risk of perinatal negative outcome in newborns conceived by Assisted Reproductive Technologies. Purpose: The purpose of this study was to compare the neurobehavior and maturity of singleton neonates conceived through fresh and frozen embryo transfer with those through naturally conceived. Methods: This study included186 singleton neonates whose mothers age ranged from 25 to 35 years old with their body mass index ranged from 18.5 to 29 and they were born through in vitro fertilization/ intra cytoplasmic injection (frozen embryo transfer and fresh embryo transfer) following 37 weeks of gestation were enrolled in this study. Singleton neonates conceived without fertility treatments (natural conceived) served as a reference group. They were equally distributed into three groups: Group A: 62 Naturally conceived singleton neonates, Group B: 62 singleton neonates conceived from fresh embryo transfer and Group C: 62 singleton neonates conceived from frozen embryo transfer. Singleton neonates in each three groups were assessed for behavior by Brazelton Neonatal Behavioral Assessment Scale and for maturity by New Ballard Score. Results: The Brazelton and New Ballard score demonstrated significant differences between three groups P values <0.05. Conclusion: The neurobehavior of singleton neonates conceived from naturally conceived are better than that of fresh and frozen embryo transfer and the estimated gestational age was lowest in fresh embryo transfer in comparison with both frozen embryo transfer and normal conceived and it was lower in normal conceived compared to frozen embryo transfer. شملت الدراسة ١٨٦ مولود فردي لاجنة حديثة ومجمدة وحمل طبيعي، تم توزيع المواليد الذين تم ولادتهم بعد ٣٧ أسبوع وعمر أمهاتهم يتراوح بين ٢٥ الي ٣٥ سنة و معدل كتلة الجسم للامهات يتراوح من١٨,٥ الي ٢٩ علي ثلاثة مجموعات .المجموعة ا :٦٢ مولود فردي ناتج عن حمل طبيعي المجموعة ب : ٦٢مولود فردي ناتج من اجنة حديثة ⸲ المجموعة ج : ٦٢ مولود فردي ناتج من اجنة مجمدة. كل مولود في الثلاث مجموعات تم تقييمه بمقياس "برازيلتون" لتقييم السلوك العصبي ومقياس "بالرد" الحديث لتقييم النضج . السلوك العصبي للمولود الناتج عن الحمل الطبيعي افضل من الناتج عن الاجنة الحديثة و المجمدة و عمر الحمل التقريبي في المولود الفردي الناتج من اجنة حديثة اقل من الناتج عن الاجنة المجمدة و حمل طبيعي و اقل في المولود الناتج من حمل طبيعي مقارنة بالاجنة المجمدة
Text in English and abstract in Arabic & English.
Physical Therapy
Fresh and frozen embryo Neurologic morbidity in Assisted Reproductive Technologies offspring Estimated gestational age New Ballard Score