Obstetric outcomes of elderly primiparous singleton pregnancies conceived byin vitrofertilization compared with those conceived spontaneously

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Aim:To examine the obstetric outcomes of elderly primiparous singleton pregnancies conceived by in vitro fertilization (IVF) compared with those conceived spontaneously.Methods:Data were collected from primiparous women aged 35 years and older with a singleton pregnancy conceived by IVF (n = 89) or spontaneously (n = 849). Data included antenatal data, gestational age at delivery obstetric complications, such as pregnancy-induced hypertension, gestational diabetes, placental previa and placental abruption, mode of delivery, birth weight, fetal demise and the Apgar score at 1 min.Results:The elective Cesarean rate in pregnancies following IVF was significantly higher than that in the control group (P = 0.014). However, there were no significant differences in obstetric outcomes between the two groups.Conclusions:The current results did not support the IVF-related risks of elderly primiparous singleton pregnancies.

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