Birth outcomes after spontaneous or assisted conception among infertile Australian women aged 28 to 36 years: A prospective, population-based study

Herbert, Danielle L., Lucke, Jayne C. and Dobson, Annette J. (2012) Birth outcomes after spontaneous or assisted conception among infertile Australian women aged 28 to 36 years: A prospective, population-based study. Fertility and Sterility, 97 3: 630-638. doi:10.1016/j.fertnstert.2011.12.033


Author Herbert, Danielle L.
Lucke, Jayne C.
Dobson, Annette J.
Title Birth outcomes after spontaneous or assisted conception among infertile Australian women aged 28 to 36 years: A prospective, population-based study
Journal name Fertility and Sterility   Check publisher's open access policy
ISSN 0015-0282
1556-5653
Publication date 2012-03
Sub-type Article (original research)
DOI 10.1016/j.fertnstert.2011.12.033
Volume 97
Issue 3
Start page 630
End page 638
Total pages 9
Place of publication Philadelphia, PA, United States
Publisher Elsevier
Collection year 2013
Language eng
Formatted abstract
Objective: To examine the extent to which the odds of birth, pregnancy, or adverse birth outcomes are higher among women aged 28 to 36 years who use fertility treatment compared with untreated women.
Design: Prospective, population-based.
Setting: Not applicable.
Patient(s): Participants in the ALSWH born in 1973 to 1978 who reported on their infertility and use of in vitro fertilization (IVF) or ovulation induction (OI).
Intervention(s): Postal survey questionnaires administered as part of ALSWH.
Main Outcome Measure(s): Among women treated with IVF or OI and untreated women, the odds of birth outcomes estimated by use of adjusted logistic regression modeling.
Result(s): Among 7,280 women, 18.6% (n = 1,376) reported infertility. Half (53.0%) of the treated women gave birth compared with 43.8% of untreated women. Women with prior parity were less likely to use IVF compared with nulliparous women. Women using IVF or OI, respectively, were more likely to have given birth after treatment or be pregnant compared with untreated women. Women using IVF or OI were as likely to have ectopic pregnancies, stillbirths, or premature or low birthweight babies as untreated women.
Conclusion(s): More than 40% of women aged 28–36 years reporting a history of infertility can achieve births without using treatment, indicating they are subfertile rather than infertile.
Keyword Assisted conception
Birth
Infertility
In vitro fertilization
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: UQ Centre for Clinical Research Publications
Official 2013 Collection
School of Public Health Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 11 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 14 times in Scopus Article | Citations
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Created: Fri, 23 Mar 2012, 14:42:31 EST by Dr Danielle Herbert on behalf of School of Public Health