臺灣地區經人工協助生殖產下單胞胎新生兒健康結果的分析

Translated title of the contribution: Analysis on Health Outcome of the Singleton Newborn Conceived by Assisted Reproductive Technology in Taiwan

林 合晴, 湯澡薰

Research output: Book/ReportCommissioned report

Abstract

This research is based on the data from the Assisted Reproductive Technology treatment cycles, provided by the Bureau of health promotion , Department of Health, Taiwan. year1998-2005 section as secondary and repeated measurements data for the analysis base. The purpose of this research was to measure the influence of paternal age , maternal age, cause of infertility, previous procedures involving ART, micromanipulation, type of procedure, ovarian stimulatory durgs and number of embryo transfer factors toward the health outcome of singleton ART newborns. During 1998-2005, in Taiwan, more than 33554 IVF-ET treatment cycles were performed resulting in the birth of more than 5119 singleton newborns. This research used SPSS 10.0 windows for analysis. Pregnancy outcomes and neonatal outcomes were analyzed using the Chi-squared test and logistic regression, with p less then 0.05 defining a significant difference. This research reveals that the clinical pregnancy rate was 37.8%, there being 40.36% singleton ART newborns, the mean birth weight was 3033.48gm and malformation rate was 3.3%. There was statistical significance of the clinical pregnancy rate related to paternal age, maternal age, primary cause of infertility, previous procedures involving ART, proceeding to micromanipulation , type of procedure , proceeding to ovarian stimulatory durgs and number of embryo transfer. There was statistical significance of the health outcome of the singleton newborns related to maternal age, unexplained infertility, length of infertility, proceeding to micromanipulation and moderate degree of ovarian hyperstimulation syndrome. The research brings forth the following suggestions about the new policy: 1) The Medication Bureau should re-exam its policy, we suggest that IVF-ET should be supported by the national health insurance ; 2) The quality of medical service should be promoted; 3) Reporting system for birth of IVF-ET should be established; 4) Early treatment is the best way for infertility to reduce adverse neonatal outcome and financial cost.
Translated title of the contributionAnalysis on Health Outcome of the Singleton Newborn Conceived by Assisted Reproductive Technology in Taiwan
Original languageTraditional Chinese
Publisher臺北醫學大學
Number of pages77
Publication statusPublished - 2005

Keywords

  • IVF-ET
  • infertility
  • ovarian stimulation
  • micromanipulation
  • low birth weight

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