Birth Defects in Singleton versus Multiple ART Births in Japan (2004–2008)

The purpose of the present study was to evaluate the relative risk (RR) of multiple births for birth defects after assisted reproductive technology (ART) using Japanese nationwide data from 2004 to 2008 with singletons as the reference group. In multiples compared to singletons, the percentage of bi...

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Main Author: Syuichi Ooki
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Pregnancy
Online Access:http://dx.doi.org/10.1155/2011/285706
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author Syuichi Ooki
author_facet Syuichi Ooki
author_sort Syuichi Ooki
collection DOAJ
description The purpose of the present study was to evaluate the relative risk (RR) of multiple births for birth defects after assisted reproductive technology (ART) using Japanese nationwide data from 2004 to 2008 with singletons as the reference group. In multiples compared to singletons, the percentage of birth defects per pregnancy were significantly higher (RR = 1.88, 95% confidence interval (CI) 1.60–2.13), the percentage of birth defects per live birth was not significantly higher (RR = 0.90, 95% CI 0.78–1.05 or RR = 0.94, 95% CI 0.81–1.10), and the early neonatal mortality rate was significantly higher (RR = 2.68, 95% CI 1.52–4.70 or RR = 2.80, 95% CI 1.60–4.92). The early neonatal mortality per 10,000 live births was slightly higher in ART (5.09) than in the general population (3.86). We concluded that the impact of birth defects after ART would be larger in families with multiples compared to families with singletons, since the mean number of children would be larger in the former.
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spelling doaj-art-768f135815fc4ffb84aad915a05bc0bb2025-02-03T05:57:46ZengWileyJournal of Pregnancy2090-27272090-27352011-01-01201110.1155/2011/285706285706Birth Defects in Singleton versus Multiple ART Births in Japan (2004–2008)Syuichi Ooki0Department of Health Science, Ishikawa Prefectural Nursing University, 1-1 Gakuendai, Kahoku, Ishikawa 929-1210, JapanThe purpose of the present study was to evaluate the relative risk (RR) of multiple births for birth defects after assisted reproductive technology (ART) using Japanese nationwide data from 2004 to 2008 with singletons as the reference group. In multiples compared to singletons, the percentage of birth defects per pregnancy were significantly higher (RR = 1.88, 95% confidence interval (CI) 1.60–2.13), the percentage of birth defects per live birth was not significantly higher (RR = 0.90, 95% CI 0.78–1.05 or RR = 0.94, 95% CI 0.81–1.10), and the early neonatal mortality rate was significantly higher (RR = 2.68, 95% CI 1.52–4.70 or RR = 2.80, 95% CI 1.60–4.92). The early neonatal mortality per 10,000 live births was slightly higher in ART (5.09) than in the general population (3.86). We concluded that the impact of birth defects after ART would be larger in families with multiples compared to families with singletons, since the mean number of children would be larger in the former.http://dx.doi.org/10.1155/2011/285706
spellingShingle Syuichi Ooki
Birth Defects in Singleton versus Multiple ART Births in Japan (2004–2008)
Journal of Pregnancy
title Birth Defects in Singleton versus Multiple ART Births in Japan (2004–2008)
title_full Birth Defects in Singleton versus Multiple ART Births in Japan (2004–2008)
title_fullStr Birth Defects in Singleton versus Multiple ART Births in Japan (2004–2008)
title_full_unstemmed Birth Defects in Singleton versus Multiple ART Births in Japan (2004–2008)
title_short Birth Defects in Singleton versus Multiple ART Births in Japan (2004–2008)
title_sort birth defects in singleton versus multiple art births in japan 2004 2008
url http://dx.doi.org/10.1155/2011/285706
work_keys_str_mv AT syuichiooki birthdefectsinsingletonversusmultipleartbirthsinjapan20042008