Özet:

The purpose of In vitro fertilization (IVF) is associated with less positive results compared to natural conception, as shown consistently in various studies. However, the ethical factors behind this problem are not yet explained. In our study, we aimed to show whether infertility etiology plays a role in the poor pregnancy results in IVF pregnancies. In this retrospective phenomenon control study, IVF and spontaneous single pregnancies were studied. Infertile patients were divided into six groups according to infertility etiology (anovulation, male factor, tubal factor, endometriosis, unexplicable infertility and low over reserve). Preeclampsia, gestational diabetes mellitus, intrahepatic cholestasis of pregnancy, pre-born and birth weight disputes have been studied between groups and subgroups. After the demographic data for each infertility subgroup was corrected, the variables that caused confusion, such as the embryo stage in the transfer (blastocyste anti-clavage stage) and the fresh frozen embryo transfer state, the impact on pregnancy results was studied using the multinomical logistical regression analysis. The study included 934 patients in the IVF group and 1009 patients in the control group. While Advers pregnancy results are more frequent in the general infertility group compared to the control group, the direct effect of infertility etiology on these results has not been shown after the removal of mixing variables. The result in IVF pregnancies appears that the increased risk of poor pregnancy can be explained by most maternal characteristics (e.g. age and body mass index) and therapeutic protocols rather than infertility etiology. Doctors should take these risks into consideration when advising patients.

Anahtar Kelimeler: