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Children Born After Intracytoplasmic Sperm Injection Compared with Spontaneously Conceived Children a Prospective Study

Received: 8 October 2015     Accepted: 19 October 2015     Published: 30 December 2015
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Abstract

Objective: To study the outcome of ICSI conceived children in our IVF center; their growth, their psychomotor development and to find out possible birth defects and genetic anomalies. Material and Methods: This is a prospective survey about ICSI conceived children and naturally conceived children in our IVF center over the period between 2007 and 2012. One hundred ICSI children aged between 2 and 6 years were invited in order to get a thorough physical examination and to undergo ultrasound imaging and genetic explorations for birth defects. One hundred naturally conceived children paired by age and sexduring the same period were taken as a control population. Results: The comparison of both ICSI and natural conception groups showed that the rate of prematurity was higher in the ICSI group with 50% vs 6% in the natural conception group, p<0.05.The rate of low birth weight was also higher in the ICSI group 35% vs 4% in the natural conception group, p<0,05. In the ICSI group, no child had slow growth or slow psychomotor development. 4% of the major birth defects were found in the ICSI group and 2% in the control group, the difference was not significant (p=0.52). These defects were essentially urogenital, orthopedic and facial. In both groups, the affected children were boys. The rate of minor birth defects found in the ICSI children is significantly higher than that in control group (23% vs 4%; p<0.05). These malformations were mainly facial, cardiac, gastrointestinal, orthopedic, neurological, urogenital and inguinal hernia type. In the ICSI group, there was a male predominance (sex ratio=1.3) without any significant difference, while in the control group there was no sex predominance. As for genetic anomalies, 3% of balanced genetic defects were detected in the ICSI children, 1% of which were in the sexual chromosomes and 2% in the autosomes. These anomalies were found in 2 boys and one girl without any significant difference. Conclusion: This work is greatly reassuring about the future of ICSI children. Larger series with long term follow-up are needed as an only guarantee in assessing the safety of ICSI technique.

Published in Journal of Gynecology and Obstetrics (Volume 3, Issue 6)
DOI 10.11648/j.jgo.20150306.13
Page(s) 115-120
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Child, Congenital Malformation, Follow-Up, Genetic Anomalies, ICSI

References
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Cite This Article
  • APA Style

    Moez Kdous, Jad Diari, Fethi Zhioua, Amel Zhioua. (2015). Children Born After Intracytoplasmic Sperm Injection Compared with Spontaneously Conceived Children a Prospective Study. Journal of Gynecology and Obstetrics, 3(6), 115-120. https://doi.org/10.11648/j.jgo.20150306.13

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    ACS Style

    Moez Kdous; Jad Diari; Fethi Zhioua; Amel Zhioua. Children Born After Intracytoplasmic Sperm Injection Compared with Spontaneously Conceived Children a Prospective Study. J. Gynecol. Obstet. 2015, 3(6), 115-120. doi: 10.11648/j.jgo.20150306.13

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    AMA Style

    Moez Kdous, Jad Diari, Fethi Zhioua, Amel Zhioua. Children Born After Intracytoplasmic Sperm Injection Compared with Spontaneously Conceived Children a Prospective Study. J Gynecol Obstet. 2015;3(6):115-120. doi: 10.11648/j.jgo.20150306.13

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  • @article{10.11648/j.jgo.20150306.13,
      author = {Moez Kdous and Jad Diari and Fethi Zhioua and Amel Zhioua},
      title = {Children Born After Intracytoplasmic Sperm Injection Compared with Spontaneously Conceived Children a Prospective Study},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {3},
      number = {6},
      pages = {115-120},
      doi = {10.11648/j.jgo.20150306.13},
      url = {https://doi.org/10.11648/j.jgo.20150306.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20150306.13},
      abstract = {Objective: To study the outcome of ICSI conceived children in our IVF center; their growth, their psychomotor development and to find out possible birth defects and genetic anomalies. Material and Methods: This is a prospective survey about ICSI conceived children and naturally conceived children in our IVF center over the period between 2007 and 2012. One hundred ICSI children aged between 2 and 6 years were invited in order to get a thorough physical examination and to undergo ultrasound imaging and genetic explorations for birth defects. One hundred naturally conceived children paired by age and sexduring the same period were taken as a control population. Results: The comparison of both ICSI and natural conception groups showed that the rate of prematurity was higher in the ICSI group with 50% vs 6% in the natural conception group, pvs 4% in the natural conception group, pvs 4%; p<0.05). These malformations were mainly facial, cardiac, gastrointestinal, orthopedic, neurological, urogenital and inguinal hernia type. In the ICSI group, there was a male predominance (sex ratio=1.3) without any significant difference, while in the control group there was no sex predominance. As for genetic anomalies, 3% of balanced genetic defects were detected in the ICSI children, 1% of which were in the sexual chromosomes and 2% in the autosomes. These anomalies were found in 2 boys and one girl without any significant difference. Conclusion: This work is greatly reassuring about the future of ICSI children. Larger series with long term follow-up are needed as an only guarantee in assessing the safety of ICSI technique.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Children Born After Intracytoplasmic Sperm Injection Compared with Spontaneously Conceived Children a Prospective Study
    AU  - Moez Kdous
    AU  - Jad Diari
    AU  - Fethi Zhioua
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    T2  - Journal of Gynecology and Obstetrics
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    JO  - Journal of Gynecology and Obstetrics
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    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20150306.13
    AB  - Objective: To study the outcome of ICSI conceived children in our IVF center; their growth, their psychomotor development and to find out possible birth defects and genetic anomalies. Material and Methods: This is a prospective survey about ICSI conceived children and naturally conceived children in our IVF center over the period between 2007 and 2012. One hundred ICSI children aged between 2 and 6 years were invited in order to get a thorough physical examination and to undergo ultrasound imaging and genetic explorations for birth defects. One hundred naturally conceived children paired by age and sexduring the same period were taken as a control population. Results: The comparison of both ICSI and natural conception groups showed that the rate of prematurity was higher in the ICSI group with 50% vs 6% in the natural conception group, pvs 4% in the natural conception group, pvs 4%; p<0.05). These malformations were mainly facial, cardiac, gastrointestinal, orthopedic, neurological, urogenital and inguinal hernia type. In the ICSI group, there was a male predominance (sex ratio=1.3) without any significant difference, while in the control group there was no sex predominance. As for genetic anomalies, 3% of balanced genetic defects were detected in the ICSI children, 1% of which were in the sexual chromosomes and 2% in the autosomes. These anomalies were found in 2 boys and one girl without any significant difference. Conclusion: This work is greatly reassuring about the future of ICSI children. Larger series with long term follow-up are needed as an only guarantee in assessing the safety of ICSI technique.
    VL  - 3
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Author Information
  • Department of Reproductive Medecine, Aziza Othmana Hospital, Medicine School of Tunis, University of Tunis El Manar, Tunis, Tunisia

  • Department of Reproductive Medecine, Aziza Othmana Hospital, Medicine School of Tunis, University of Tunis El Manar, Tunis, Tunisia

  • Department of Reproductive Medecine, Aziza Othmana Hospital, Medicine School of Tunis, University of Tunis El Manar, Tunis, Tunisia

  • Department of Reproductive Medecine, Aziza Othmana Hospital, Medicine School of Tunis, University of Tunis El Manar, Tunis, Tunisia

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