RISK FACTORS AND EARLY DEVELOPMENT OF CHILDREN BORN WITH AN ASSISTED FERTILIZATION

The aim of this paper is to present a systematic literature review of the researches conducted in the area of risk factors and difficulties in the early development of children born after assisted conception, to systematize current knowledge in this field and allocate the factors of importance for the early intervention.In order to evaluate the published data on risk factors and early development of children born after assisted conception, an extensive literature search was conducted to identify the published papers related to the obstetric and neonatal outcome of pregnancies after assisted repro­duction technology, the incidence of multiple pregnancy and the risk of preterm delivery, the neonatal status, the mean gestational age, the average birth weight, the neuro-developmental outcomes and early cognitive and motor development. The research identified the following factors as the most important for the early intervention: increased rates of multiple gestations, prematurity, delivery by cesarean section, lower average gestational development and average birth weight, small fetal development for gestational age and low Apgar score, related to the an increased risk of developing neurological problems, such as the cerebral palsy.Accepting this research results, it can be concluded that all of these information should be available for couples seeking an Assisted Reproductive Technology (ART) treatment.The success of the early intervention is directly related to the early detection and assessment that precedes this treatment, creating individual programs and evaluation of the effects of the treatment.