دورية أكاديمية
Is a Surrogate Pregnancy a High-Risk Pregnancy?
| العنوان: | Is a Surrogate Pregnancy a High-Risk Pregnancy? |
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| المؤلفون: | Amorado P; Resident., Magann EF; Professor., Phillips AM; Assistant Professor., Moutos DM; Professor., Whittington JR; Fellow, Department of Obstetrics and Gynecology at the University of Arkansas for the Medical Sciences, Little Rock, AR., Hughes DS; Assistant Professor., Klausen JH; Independent Researcher, Retired US Navy, Temecula, CA. |
| المصدر: | Obstetrical & gynecological survey [Obstet Gynecol Surv] 2021 May; Vol. 76 (5), pp. 302-309. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Williams and Wilkins Country of Publication: United States NLM ID: 0401007 Publication Model: Print Cited Medium: Internet ISSN: 1533-9866 (Electronic) Linking ISSN: 00297828 NLM ISO Abbreviation: Obstet Gynecol Surv Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Baltimore, MD : Williams and Wilkins |
| مواضيع طبية MeSH: | Pregnancy, High-Risk* , Premature Birth*, Cesarean Section ; Female ; Humans ; Infant, Newborn ; Pregnancy ; Pregnancy Outcome ; Stillbirth |
| مستخلص: | Importance: As assisted reproductive technology has advanced, there has been an increase in gestational carriers/surrogate pregnancies. Information is needed to determine if these pregnancies are high-risk pregnancies and should be managed by maternal fetal medicine or if they are not high risk and should be cared for by residency-trained obstetricians and gynecologists. Objective: In this review of the literature, we explore whether surrogate pregnancies should be classified as high-risk pregnancies and managed by subspecialists. Evidence Acquisition, Results: Our literature search discovered 28 relevant studies that evaluated surrogate pregnancy and pregnancy complications/outcomes. We learned that the overall risk by using artificial reproductive technology and risks for hypertension, preterm delivery, cesarean delivery, low birth weight neonate, fetal anomalies, and stillbirth did not seem to increase maternal/perinatal risk to the level where a subspecialist was required for the inclusive management of a gestational surrogate. Given that the ideal gestational carrier is healthy, has previously had a term pregnancy, has a single embryo implanted, and has had no more than 3 prior cesarean deliveries, these pregnancies should be lower-risk pregnancies. Conclusions: We recommend that close monitoring and high index of suspicion should be maintained for complications, but care for the surrogate pregnancy can be accomplished by a residency-trained obstetrician-gynecologist. Relevance: An uncomplicated surrogate pregnancy can be managed by a residency-trained obstetrician-gynecologist and does not need to be managed by high-risk obstetric subspecialists. |
| تواريخ الأحداث: | Date Created: 20210525 Date Completed: 20211028 Latest Revision: 20220423 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1097/OGX.0000000000000898 |
| PMID: | 34032862 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1533-9866 |
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| DOI: | 10.1097/OGX.0000000000000898 |