Robert Johnston1, Alex Fong2, Sarah Lovell1, Paul S Sobolewski3, Steve Rad4, Aaron Turner4. 1. University of California, Irvine, Obstetrics and Gynecology, Orange, CA. 2. Miller Children's Hospital - Long Beach Memorial Medical Center, Long Beach, CA. 3. Oakland University, William Beaumont School of Medicine, Department of Obstetrics and Gynecology, Rochester, MI. 4. Cedars-Sinai Medical Center, Department of Obstetrics and Gynecology, Los Angeles, CA.
Abstract
OBJECTIVE: Use of assisted reproductive technology has increased steadily, yet multiple socioeconomic and demographic disparities remain between the general population and those with infertility. Additionally, both mothers and infants experience higher rates of adverse outcomes compared to their non-ART counterparts. METHODS: Using International Classification of Diseases, Ninth Revision (ICD-9) coding, we performed a retrospective review of all ART-conceived deliveries in California in 2009. A total of 551 ART pregnancies were compared to Non-ART pregnancies (n=406,885). RESULTS: The majority of ART deliveries belonged to women of advanced maternal age (AMA) and Caucasian or Asian race. Nearly half of all ART deliveries were multiple gestations. Compared to non-ART deliveries, ART pregnancies were associated with placenta previa, placental abruption, mild preeclampsia, and fetal growth restriction. CONCLUSION: While not powered to detect all outcomes, our study highlights significant racial and ethnic disparities between ART and Non-ART pregnancies.
OBJECTIVE: Use of assisted reproductive technology has increased steadily, yet multiple socioeconomic and demographic disparities remain between the general population and those with infertility. Additionally, both mothers and infants experience higher rates of adverse outcomes compared to their non-ART counterparts. METHODS: Using International Classification of Diseases, Ninth Revision (ICD-9) coding, we performed a retrospective review of all ART-conceived deliveries in California in 2009. A total of 551 ART pregnancies were compared to Non-ART pregnancies (n=406,885). RESULTS: The majority of ART deliveries belonged to women of advanced maternal age (AMA) and Caucasian or Asian race. Nearly half of all ART deliveries were multiple gestations. Compared to non-ART deliveries, ART pregnancies were associated with placenta previa, placental abruption, mild preeclampsia, and fetal growth restriction. CONCLUSION: While not powered to detect all outcomes, our study highlights significant racial and ethnic disparities between ART and Non-ART pregnancies.
Entities:
Keywords:
ART pregnancy; IVF pregnancy; high-risk pregnancies