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In vitro fertilization in Sweden: Child morbidity including cancer risk
Tornblad Institute, Lunds universitet.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Pediatrics. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Paediatrics in Linköping.
Fertility Clinic, Sofiahemmet, Stockholm.
Centre for Epidemiology, Stockholm.
2005 (English)In: Fertility and Sterility, ISSN 0015-0282, E-ISSN 1556-5653, Vol. 84, no 3, 605-610 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To study long-term morbidity among children conceived by IVF. Design: A register study in Sweden of IVF infants compared with all infants born. Setting: National health registers. Patient(s): More than 16,000 children born after IVF (30% of them after intracytoplasmic sperm injection) were studied with national health registers. Main Outcome Measure(s): Total number of days in hospital care at different ages, hospitalization for specific diagnoses, childhood cancer. Result(s): An overuse of hospital care was found among IVF children up to 6 years of age, which was partly explained by maternal characteristics. Discharge diagnoses indicating brain damage (mental retardation, cerebral palsy, epilepsy, behavioral problems) occurred in excess and seemed to be completely explained by preterm births. In addition, other discharge diagnoses were overrepresented, some of them linked to preterm birth. There were 29 children with cancer (21 expected), 5 of them had Langerhan's histiocytosis. Conclusion(s): Long-term morbidity among children conceived by IVF is higher than among naturally conceived infants. This was partly explained by an excess of preterm and multiple births but might also mirror different parental attitudes toward medical care for their children. No general increase in cancer risk was seen, but unexpectedly many children with histiocytosis were noted. ©2005 by American Society for Reproductive Medicine.

Place, publisher, year, edition, pages
2005. Vol. 84, no 3, 605-610 p.
Keyword [en]
IVF, child morbidity, brain damage, convulsions, infections, asthma, cancer
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-30889DOI: 10.1016/j.fertnstert.2005.03.035Local ID: 16551OAI: oai:DiVA.org:liu-30889DiVA: diva2:251712
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2017-12-13

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Finnström, Orvar

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