{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T13:30:36Z","timestamp":1775655036370,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,4,3]],"date-time":"2017-04-03T00:00:00Z","timestamp":1491177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100015471","name":"Mater Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100015471","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>To characterise maternal demographics and ascertain whether clinically important differences exist in the intrapartum and neonatal outcomes associated with assisted reproductive technology (<jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>A retrospective study was undertaken between January 2007 and December 2013 of all singleton pregnancies conceived via <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content> at a major tertiary unit in Brisbane, Australia. Intrapartum outcomes were mode of delivery and indication for emergency caesarean. Neonatal outcomes investigated were gestation at delivery, birth weight, Apgar scores, acidosis at birth, respiratory distress, need for resuscitation, admission to neonatal intensive care and stillbirth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 4733 (7.4%) <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content> and 59\u00a0277 (92.6%) spontaneous conception pregnancies. Women who conceived using <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content> were less likely to have a spontaneous vaginal delivery (odds ratio (<jats:styled-content style=\"fixed-case\">OR)<\/jats:styled-content> 0.60, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.57\u20130.64) and were more likely to require operative or assisted birth: elective caesarean (adjusted OR (<jats:styled-content style=\"fixed-case\">aOR)<\/jats:styled-content> 1.31, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.22\u20131.40), emergency caesarean (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 1.19, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.09\u20131.28), or instrumental delivery (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 1.45, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.32\u20131.58). Neonates who were conceived using <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content> were less likely to be born at term (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 0.64, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.58\u20130.71) and have lower birth weights. No differences were observed in rates of respiratory distress, admission to the neonatal intensive care unit, or stillbirth between the <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content> and spontaneous conception cohorts. The odds of neonatal acidosis (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.71, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>0.63\u20130.81) were lower in the <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content> cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although higher rates of operative deliveries were seen for women who conceive using <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content>, neonatal outcomes were generally no different between the two cohorts.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12620","type":"journal-article","created":{"date-parts":[[2017,4,5]],"date-time":"2017-04-05T15:08:15Z","timestamp":1491404895000},"page":"588-592","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Intrapartum and neonatal outcomes in singleton pregnancies following conception by assisted reproduction techniques"],"prefix":"10.1111","volume":"57","author":[{"given":"Kellie M.","family":"Rozdarz","sequence":"first","affiliation":[{"name":"Mater Mothers' Hospital  South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher J.","family":"Flatley","sequence":"additional","affiliation":[{"name":"Mater Research Institute \u2013 University of Queensland  South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0832-4811","authenticated-orcid":false,"given":"Sailesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Mater Mothers' Hospital  South Brisbane Queensland Australia"},{"name":"Mater Research Institute \u2013 University of Queensland  South Brisbane Queensland 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