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Master Thesis

La grossesse après 40 ans consécutive à une FIV ou une ICSI

Abstract : BACKGROUND. To estimate whether the age, associated with these pregnancies inferred by either an IVF (In Vitro Fertilization) or an ICSI, is source of maternal, obstetric and neonatal complications.

METHODS. From the 1st of January 1998 to the 30th of June 2009, we conducted a retrospective study at the maternity hospital of Angers, including 23 patients. The medical records Audipog were collected by the database software. The included patients had to be 40 years old or more the day of either the IVF or the ICSI and the pregnancy had to be scalable. We included the women having undergone an IMG for the follow-up of the pregnancy only. RESULTS. The age upper to 40 years and the pregnancy, inferred by either the IVF or the ICSI, are associated to the increase of the rates of gestational diabetes (28,6%) and the arterial high blood pressure (19%). The rate of instrumental extractions is increased and the rate of caesarians reaches 45,4% among primiparous. The risk of chromosomal abnormalities is increased (13%) like the prematurity (15%).

CONCLUSION. Women's pregnancies of more than 40 years, consecutive to either an IVF or an ICSI, are associated with the increase of prevalence of certain obstetric pathologies, interventions during the delivery and neonatal complications.

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https://dumas.ccsd.cnrs.fr/dumas-00542480
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Submitted on : Thursday, December 2, 2010 - 4:49:04 PM
Last modification on : Friday, May 10, 2019 - 1:26:01 PM
Long-term archiving on: : Thursday, March 3, 2011 - 3:01:15 AM

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Aurélie Gache. La grossesse après 40 ans consécutive à une FIV ou une ICSI. Gynécologie et obstétrique. 2010. ⟨dumas-00542480⟩

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