PERINATAL ASPECTS IN NEWBORN RESULTING FROM ASSISTED HUMAN REPRODUCTION

The paper present the main aspects of perinatale evolution of new – born resulting from assisted human reproduction compared with those resulting from natural reproduction in Vitro Fertilization Center within the Obstetrics – Gynecology Clinic „Bega” Timisoara. The study validates The results obtains during 10 years of experience in the team of the country first in Vitro Fertilization Center. The researched material is represented by a group of 109 new – born resulting from assisted human reproduction who were delivered in the clinic. These cases were completely monitored until going home. A control group (n = 95) represented by new – born resulted from natural reproduction was used for the factorial analysis and the accuracy of the results. The method of controlled comparative research was used (case - with ness). The main perinatal risk factors as well as the evolution parameters of the new – born during the first week of life have been analyzes. There are no significant differences for most of the analyzed parameters between the cases of the two groups. Important differences were registered for: the average age of the mother (higher in the researched group); the monitorization of the gestation evolution (better in the research group); delivery through caesarian section (more frequent in the research group); the incidence of prematurity and intrauterine growth limitation and their perinatal/neonatal consequence (higher and more important in the research group); the incidence of multiples pregnancies (exclusively in the research group). The results are validated by the size of the groups and the analyzed method. The results of the study show that the perinatal evolution of the new – born is mostly independent of the way of conception and it depends on the feto – neonatal status of the perinatal period. Assisted human reproduction represents a great victory of medicine against sterility.