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https://doi.org/10.14300/mnnc.2020.15035

Basic principles for the management of pregnancy after assisted reproductive technologies

[Reviews]
Olga Vladimirovna Yakovleva; Tatyana Nikolaevna Glukhova; Irina Evgenievna Rogozhina;

The problem of complications of pregnancy after assisted reproductive technologies (ART) remains unresolved up to date. The paper is a review of data from multicenter randomized studies conducted in 2014–2018 and devoted to the management of pregnancy after assisted reproductive technologies (in vitro fertilization, intracytoplasmic sperm injection) and pregnancy management protocols (USA, Canada, Australia). The authors substantiated the expediency of thorough monitoring during pregnancy after ART, as well as pathogenic principles of management, emphasized the importance of adequate weight gain for pregnant women with multiple fetuses. For timely diagnosis of the preterm birth risk ultrasound transvaginal cervicometry at 18–24 weeks of gestation, surgical correction of cervical insufficiency up to 24 weeks of gestation, or the introduction of obstetric pessary are recommended. The expediency of hormonal support with progesterone preparations, as well as of prescribing low-dose aspirin preparations after ART within 12–16 weeks has been shown. Data on the principles of delivery after ART are provided.

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Keywords: аssisted reproductive technologies, pregnancy complications, pregnancy management