Intrahepatic cholestasis of pregnancy: are <i>in vitro</i> fertilization pregnancies at risk?
Songül Alemdaroğlu, Şafak Yılmaz Baran, Gülşen Doğan Durdağ, Seda Yüksel Şimşek, Selçuk Yetkinel, Didem Alkaş Yağınç, Hakan Kalaycı, Erhan Şımşek
Abstract
Aim Single pregnancy patients with intrahepatic cholestasis of pregnancy (ICP) were divided into two groups according to the conception method, as spontaneous and in vitro fertilization (IVF). We aim to compare the maternal, laboratory and perinatal characteristics of both groups.Materials and method The records of 10,929 patients who gave birth in the center between October 2011 and July 2019 were analyzed retrospectively from the data processing system records. Maternal, laboratory and perinatal characteristics of 109 single pregnancies (spontaneous n: 91; IVF n: 18) diagnosed with ICP were compared.Findings The maternal demographic data of both groups were similar (p: .05). In both groups, gestational week, gestational age at birth, birth weight, neonatal intensive care admission rate, meconium-stained amniotic fluid, umbilical cord pH, the 5-minute APGAR score, and the presence of pregnancy complications were similar (p > .05).Result Although ICP is reported with a higher incidence in IVF pregnancies, ICP findings and prognosis are similar to those of spontaneous pregnancies.