TITLE:
Pregnancies Outcome after Assisted Reproductive Technology: A Multicenter Case Control Study in a Low Income Setting Douala, Cameroon
AUTHORS:
Tchente Nguefack Charlotte, Bourdanne Tekouake Didier, T. Nana Njamen, Nda Mefo’o Jean Pierre, Ekono Michel Roger, Essome Henri, Tsingaing Kamgaing Jacques, Gwet Bell Ernestine, Sandjon Guy, Halle Ekane Edie Gregory
KEYWORDS:
Pregnancy Outcome, Assisted Reproductive Technology, Douala
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.6,
June
18,
2021
ABSTRACT: The objective was to assess the outcome of pregnancies after assisted
reproductive technology (ART). It was a case-control study carried out in four
health facilities in Douala-Cameroon, over a period of five years. The cases
were pregnant women who conceived through ART and the controls were those who
conceived naturally. Cases and controls were matched for maternal age and
parity (one case for two controls). A logistic regression analysis was used to
compute Odds ratios. Statistical significance was set at 0.05. A total of 174
women who conceived through ART and 348 who conceived naturally were enrolled.
Some independent factors associated with ART were: age over 45 years [aOR: 7.55; 95% CI (1.55 -
36.76); p: 0.01], twin pregnancies [aOR: 16.55; 95% CI (7.91
- 34.60); p 3.04; 95% CI
(1.23 - 7.50); p: 0.01], miscarriages [aOR: 11.73; 95% CI (5.07
- 27.10); p: 0.01], elective cesarean section [aOR: 4.63; 95% CI (2.27
- 9.45); p: 0.01] and low birth weight [aOR: 3.32; 95% CI (1.90
- 5.82); p