الفهرس 
ACKNOLEDGMENTOnly 14 pages are availabe for public view
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Abstract
Pregnancies achieved by IVF with or without ICSI are at higher risk for obstetrical and perinatal complications than spontaneous pregnancies, and close surveillance during pregnancy should be considered. It remains unclear if these increased risks are attributable to the underlying infertility, characteristics of the infertile couple, or use of ART. Women undergoing ART should be informed about the increased rate of adverse pregnancy outcomes and obstetric interventions such as induced labour and elective Caesarean delivery. A significant risk of ART is multiple pregnancies. Infertile couples need to be informed of the increased risks of multifetal pregnancies which include higher rates of perinatal mortality, preterm birth, low birth weight, gestational hypertension, placental abruption, and placenta previa. When multifetal reduction is being considered for high order multiple pregnancies, psychosocial counseling should be readily available. Careful surveillance for fetal growth problems should be undertaken after multifetal reduction. Singleton pregnancies achieved by assisted reproduction are at higher risk than spontaneous pregnancies for adverse outcomes, including perinatal mortality, preterm delivery, and low birth weight, and close surveillance during pregnancy should be available as needed.