Abstract
Background The objective of this systematic review and meta-analyses was to assess the risk of preeclampsia among women who conceived with assisted reproductive technology (ART).
Methods We searched the ISI Web of Knowledge, Medline/PubMed, Scopus, and Embase (from inception to May 2017) for English language articles using a list of key words. In addition, reference lists from identified studies and relevant review articles were also searched. Data extraction was performed by two authors, and the study quality was assessed using the Newcastle-Ottawa Scale. Random-effects model meta-analysis was applied to pool the relative risks (RR) across studies.
Results A total of 48 studies (5 case-control studies and 43 cohort studies) were included in this meta-analysis. The Cochran Q test and I(2) statistics revealed substantial heterogeneity (Q = 26,313.92, d.f. = 47, p < 0.001 and I(2) = 99.8%). Meta-analysis showed a significant increase in preeclampsia in women who conceived by ART compared with those who conceived spontaneously (RR = 1.71, 95% CI = 1.11-2.62, p = 0.015).
Conclusions The findings of this systematic review indicate that the use of ART treatment is associated with a 1.71-fold increase in preeclampsia.
ivf preeclampsia risk, assisted reproductive technology complications, art pregnancy outcomes, preeclampsia ivf meta-analysis, infertility treatment pregnancy risks, art versus natural conception outcomes, ivf maternal health risks, preeclampsia risk factors assisted reproduction, spontaneous conception versus art, fertility treatment pregnancy complications
Keywords
Case-Control Studies, Cohort Studies, Female, Humans, Pre-Eclampsia, Pregnancy, Reproductive Techniques, Assisted, Risk, Assisted Reproductive Technology, Infertility, Meta-analysis, Preeclampsia, Systematic Review