Oocyte donation pregnancies-non-disclosure of oocyte recipient status to obstetric care providers and perinatal outcomes
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Published version
Date
2017-12
Authors
Geisler, Minna E.
Meaney, Sarah
O'Donoghue, Keelin
Waterstone, John J.
Journal Title
Journal ISSN
Volume Title
Publisher
Irish Medical Organisation
Published Version
Abstract
Background: Oocyte donation pregnancies-non-disclosure of oocyte recipient (OR) status to obstetric care providers and perinatal outcomes. Many studies report a higher rate of pregnancy-induced hypertension (PIH) and severe pre-eclampsia (PET) in OR pregnancies. The objective is to determine the rates of non-disclosure of OR pregnancy to obstetric care providers and also the rates of perinatal complications. Method: This was a retrospective review of all oocyte recipient (OR) pregnancies, who subsequently delivered at Cork University Maternity Hospital, between 2007-2012 inclusive. Obstetric case notes were reviewed to investigate perinatal outcomes and whether OR status had been documented (unambiguously, in code or not at all). Results Less than one-third (30.2%; n=32/106) had unambiguous documentation, one-third (33%; n=35/106) had no documentation and the remainder (36.8%; n=39/106) had a code familiar only to their obstetrician. There was a high rate of gestational hypertensive disorders (28.3%; n= 30), most frequently occurring with multiple gestation. Conclusion There was a low rate of clear documentation of OR status. Gestational hypertensive disorders occurred with increased frequency.
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Keywords
Blood pressure , Cesarean section , Cholestasis , Fertility , Maternal hypertension , Middle aged , Multiple pregnancy , Obstetric procedure , Oocyte donation , Perinatal care , Preeclampsia , Pregnancy , Pregnancy diabetes mellitus , Premature labor , Proteinuria , Retrospective study , Twin pregnancy , University hospital
Citation
Geisler, M. E., Meaney, S., O'Donoghue, K. and Waterstone, J. J. (2017) 'Oocyte donation pregnancies-non-disclosure of oocyte recipient status to obstetric care providers and perinatal outcomes'. Irish Medical Journal, 110 (10), 654. http://imj.ie/oocyte-donation-pregnancies-non-disclosure-of-oocyte-recipient-status-to-obstetric-care-providers-and-perinatal-outcomes/
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© 2017, Irish Medical Organisation. All Rights Reserved.