MEDICAL AND SOCIAL PROBLEMS OF ASSISTED REPRODUCTIVE TECHNOLOGIES FROM THE PERSPECTIVE OF PEDIATRICS

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Abstract

The article presents a literature review over the last few years devoted to the health status and development peculiarities of children born using assisted reproductive technologies (ART) procedures. The statistics shows an explosive increase in the frequency of ART application as a fertility treatment method. The presented data analysis reflects the perinatal outcomes after ART in children, the frequency of congenital malformations and genetic diseases in this population, possible long-term malconditions and pathologies in children born using ART. The overwhelming majority of investigators consider the adverse effect of ART on a child’s body to be the result of prematurity and multiple pregnancy (transfer multiple embryos followed by partial reduction). It is stated that the widespread introduction of ART may contribute to the vertical transmission of parental infertility factors in the population. The application of ART procedures in some cases is associated with controversial ethical and legal issues (surrogacy, oocyte donation). Further improvements in ART procedures (preimplantation training, medical and genetic diagnosis, reducing the frequency of multiple pregnancy) cannot be stated as an alternative to the general medical and social prevention of reproductive disorders in adolescents and youth.

 

About the authors

A. A. Baranov

Scientific Center of Children's Health, Moscow, Russian Federation
I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation

Author for correspondence.
Email: baranov@nczd.ru

доктор медицинских наук, профессор, академик РАН, директор Научного центра
здоровья детей
Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 1, тел.: +7 (499) 134-30-83

Russian Federation

L. S. Namazova-Baranova

Scientific Center of Children's Health, Moscow, Russian Federation
I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
Pirogov Russian National Research Medical University, Moscow, Russian Federation

Email: namazova@nczd.ru

доктор медицинских наук, профессор, член-корреспондент РАН, директор
НИИ педиатрии Научного центра здоровья детей, заведующая кафедрой факультетской педиатрии РНИМУ
им. Н.И. Пирогова
Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 2, тел.: +7 (495) 967-14-14

Russian Federation

I. A. Belyaeva

Scientific Center of Children's Health, Moscow, Russian Federation

Email: belyaeva@nczd.ru

доктор медицинских наук, заведующая отделением для недоношенных детей НИИ
педиатрии Научного центра здоровья детей
Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 1, тел.: +7 (499) 134-15-19

Russian Federation

E. P. Bombardirova

Scientific Center of Children's Health, Moscow, Russian Federation

Email: namazova@nczd.ru

доктор медицинских наук, профессор, главный научный сотрудник отделения для
недоношенных детей НИИ педиатрии Научного центра здоровья детей
Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 1, тел.: +7 (499) 134-15-19

Russian Federation

E. P. Smirnov

Scientific Center of Children's Health, Moscow, Russian Federation

Email: smirnov@nczd.ru

доктор медицинских наук, профессор, главный научный сотрудник лабораторного отдела
НИИ педиатрии Научного центра здоровья детей
Адрес: 119991, Москва, Ломоносовский пр-т, д. 2, стр. 1, тел.: +7 (499) 134-30-83

Russian Federation

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