Assisted reproductive technology and the risk of preeclampsia: an updated systematic review and meta-analysis

BMC Pregnancy and Childbirth, 19(1), 149

DOI 10.1186/s12884-019-2291-x PMID 31046710

Abstract

Background

The objective of this systematic review and meta-analyses was to assess the risk of preeclampsia among women who conceived with assisted reproductive technology (ART).

Methods

We searched the ISI Web of Knowledge, Medline/PubMed, Scopus, and Embase (from inception to May 2017) for English language articles using a list of key words. In addition, reference lists from identified studies and relevant review articles were also searched. Data extraction was performed by two authors, and the study quality was assessed using the Newcastle-Ottawa Scale. Random-effects model meta-analysis was applied to pool the relative risks (RR) across studies.

Results

A total of 48 studies (5 case-control studies and 43 cohort studies) were included in this meta-analysis. The Cochran Q test and I(2) statistics revealed substantial heterogeneity (Q = 26,313.92, d.f. = 47, p < 0.001 and I(2) = 99.8%). Meta-analysis showed a significant increase in preeclampsia in women who conceived by ART compared with those who conceived spontaneously (RR = 1.71, 95% CI = 1.11-2.62, p = 0.015).

Conclusions

The findings of this systematic review indicate that the use of ART treatment is associated with a 1.71-fold increase in preeclampsia.

Topics

assisted reproductive technology preeclampsia, IVF preeclampsia risk, ART pregnancy complications, preeclampsia meta-analysis, IVF hypertensive disorders, ART adverse outcomes, preeclampsia risk factors, assisted conception complications, IVF maternal health, preeclampsia systematic review
PMID 31046710 31046710 DOI 10.1186/s12884-019-2291-x 10.1186/s12884-019-2291-x

Cite this article

Almasi-Hashiani, A., Omani-Samani, R., Mohammadi, M., Amini, P., Navid, B., Alizadeh, A., Khedmati Morasae, E., & Maroufizadeh, S. (2019). Assisted reproductive technology and the risk of preeclampsia: an updated systematic review and meta-analysis. *BMC pregnancy and childbirth*, *19*(1), 149. https://doi.org/10.1186/s12884-019-2291-x

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