臨床婦人科産科76巻11号

2022年11月発行

今月の臨床 生殖医療の安全性―どんなリスクと留意点があるのか？

患者に対する安全性

ART妊娠の周産期合併症

著者： 田村博史¹

所属機関： ¹山口大学大学院医学系研究科産科婦人科学

ページ範囲：P.1083 - P.1088

文献概要

●生殖補助医療（ART）による妊娠は自然妊娠と比較して，周産期合併症のリスクが高く，ハイリスク妊娠としての周産期管理を考慮すべきである．

●凍結融解胚移植（FET）では新鮮胚移植と比較して，妊娠高血圧症候群や癒着胎盤のリスクが上昇し，児の出生体重が重くなる．

●ホルモン調整周期のFETは，妊娠高血圧症候群や癒着胎盤のリスクが上昇するが，自然排卵周期のFETは，周産期合併症のリスクが低い．

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