Table 2 Risk factors of adverse birth outcomes in singletons conceived with IVF.
Variable | Variable level | PTB | LBW | Macrosomia | SGA | LGA | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
N | Rate (%) | OR (95%CI) | N | Rate (%) | OR (95%CI) | N | Rate (%) | OR (95%CI) | N | Rate (%) | OR (95%CI) | N | Rate (%) | OR (95%CI) | ||
Year of birth | Change per year | – | – | 0.94(0.90,0.98) | – | – | 0.98(0.93,1.04) | – | – | 0.99(0.95,1.03) | – | – | 1.01(0.96,1.06) | – | – | 0.97(0.94,1.00) |
Maternal age | 20–29 years | 166 | 6.76 | Ref | 101 | 4.11 | Ref | 226 | 9.20 | Ref | 127 | 5.17 | Ref | 451 | 18.36 | Ref |
30–34 years | 263 | 6.35 | 0.87(0.71,1.07) | 172 | 4.15 | 0.95(0.74,1.23) | 361 | 8.72 | 0.88(0.73,1.05) | 192 | 4.64 | 0.93(0.73,1.17) | 730 | 17.63 | 0.90(0.78,1.02) | |
35–39 years | 142 | 6.42 | 0.86(0.67,1.11) | 87 | 3.93 | 0.89(0.65,1.22) | 187 | 8.46 | 0.80(0.64,0.99) | 116 | 5.25 | 1.11(0.84,1.47) | 395 | 17.87 | 0.86(0.73,1.01) | |
≥ 40 years | 45 | 9.78 | 1.29(0.88,1.88) | 21 | 4.57 | 1.03(0.61,1.72) | 34 | 7.39 | 0.62(0.41,0.92) | 24 | 5.22 | 1.17(0.72,1.87) | 81 | 17.61 | 0.77(0.58,1.02) | |
Pregestational BMI | < 18.5 | 65 | 6.01 | 1.02(0.77,1.34) | 39 | 3.60 | 0.97(0.69,1.37) | 45 | 4.16 | 0.48(0.35,0.65) | 86 | 7.95 | 1.84(1.43,2.37) | 103 | 9.52 | 0.50(0.40,0.62) |
18.5–23.9 | 395 | 6.08 | Ref | 247 | 3.80 | Ref | 518 | 7.98 | Ref | 292 | 4.50 | Ref | 1114 | 17.16 | Ref | |
24–28 | 120 | 8.82 | 1.42(1.15,1.77) | 72 | 5.29 | 1.41(1.07,1.85) | 200 | 14.70 | 2.03(1.70,2.43) | 68 | 5.00 | 1.15(0.88,1.51) | 360 | 26.45 | 1.75(1.52,2.01) | |
≥ 28 | 36 | 10.84 | 1.68(1.16,2.44) | 23 | 6.93 | 1.84(1.17,2.90) | 45 | 13.55 | 1.89(1.35,2.64) | 13 | 3.92 | 0.92(0.52,1.63) | 80 | 24.10 | 1.55(1.19,2.03) | |
Gender | Boy | 347 | 7.03 | Ref | 184 | 3.73 | Ref | 516 | 10.45 | Ref | 228 | 4.62 | Ref | 882 | 17.86 | Ref |
Girl | 269 | 6.22 | 0.89(0.75,1.05) | 197 | 4.55 | 1.23(1.00,1.52) | 292 | 6.75 | 0.62(0.53,0.72) | 231 | 5.34 | 1.17(0.97,1.42) | 775 | 17.91 | 1.01(0.91,1.12) | |
Parity | 0 | 542 | 6.43 | Ref | 350 | 4.15 | Ref | 721 | 8.55 | Ref | 427 | 5.06 | Ref | 1479 | 17.54 | Ref |
1 | 70 | 8.89 | 1.41(1.07,1.85) | 29 | 3.68 | 0.94(0.63,1.40) | 82 | 10.42 | 1.18(0.92,1.52) | 31 | 3.94 | 0.77(0.52,1.13) | 166 | 21.09 | 1.22(1.01,1.47) | |
≥ 2 | 4 | 8.51 | 1.31(0.46,3.70) | 2 | 4.26 | 1.09(0.26,4.59) | 5 | 10.64 | 1.19(0.46,3.06) | 1 | 2.13 | 0.42(0.06,3.06) | 12 | 25.53 | 1.58(0.81,3.08) | |
Year of infertility | < 5 years | 424 | 6.32 | Ref | 265 | 3.95 | Ref | 583 | 8.69 | Ref | 339 | 5.05 | Ref | 1187 | 17.69 | Ref |
5–10 years | 162 | 7.59 | 1.15(0.95,1.40) | 98 | 4.59 | 1.11(0.87,1.42) | 189 | 8.86 | 0.99(0.82,1.18) | 101 | 4.74 | 0.96(0.76,1.22) | 389 | 18.24 | 0.99(0.87,1.13) | |
≥ 10 years | 30 | 7.08 | 1.01(0.68,1.52) | 18 | 4.25 | 1.03(0.62,1.72) | 36 | 8.49 | 0.97(0.67,1.40) | 19 | 4.48 | 0.88(0.54,1.45) | 81 | 19.10 | 1.03(0.79,1.34) | |
Number of failure cycle | 0 | 368 | 6.37 | Ref | 228 | 3.95 | Ref | 485 | 8.40 | Ref | 299 | 5.18 | Ref | 1005 | 17.40 | Ref |
1 | 99 | 6.10 | 0.87(0.69,1.11) | 57 | 3.51 | 0.86(0.63,1.17) | 153 | 9.43 | 1.17(0.96,1.43) | 69 | 4.25 | 0.80(0.60,1.05) | 300 | 18.48 | 1.07(0.92,1.24) | |
2 | 69 | 8.03 | 1.20(0.91,1.58) | 43 | 5.01 | 1.24(0.88,1.75) | 78 | 9.08 | 1.16(0.90,1.51) | 40 | 4.66 | 0.88(0.62,1.24) | 159 | 18.51 | 1.10(0.91,1.34) | |
≥ 3 | 80 | 7.94 | 1.16(0.88,1.51) | 53 | 5.26 | 1.29(0.93,1.79) | 92 | 9.13 | 1.17(0.91,1.50) | 51 | 5.06 | 0.97(0.70,1.33) | 193 | 19.15 | 1.16(0.96,1.38) | |
Sperm | Husband sperm | 608 | 6.66 | Ref | 372 | 4.08 | Ref | 799 | 8.76 | Ref | 449 | 4.92 | Ref | 1635 | 17.92 | Ref |
Donor sperm | 8 | 5.63 | 0.84(0.40,1.78) | 9 | 6.34 | 1.42(0.68,2.93) | 9 | 6.34 | 0.73(0.36,1.49) | 10 | 7.04 | 1.45(0.72,2.90) | 22 | 15.49 | 0.80(0.49,1.29) | |
Embryo transfer | Fresh | 37 | 5.51 | Ref | 25 | 3.72 | Ref | 56 | 8.33 | Ref | 28 | 4.17 | Ref | 118 | 17.56 | Ref |
Frozen | 579 | 6.74 | 1.51(1.03,2.21) | 356 | 4.14 | 1.14(0.72,1.81) | 752 | 8.75 | 1.07(0.77,1.47) | 431 | 5.01 | 1.20(0.78,1.84) | 1539 | 17.91 | 1.13(0.90,1.43) | |
Unexplained | No | 603 | 6.63 | Ref | 373 | 4.10 | Ref | 795 | 8.74 | Ref | 447 | 4.91 | Ref | 1626 | 17.87 | Ref |
Yes | 13 | 7.83 | 1.29(0.69,2.41) | 8 | 4.82 | 1.51(0.69,3.29) | 13 | 7.83 | 0.74(0.40,1.36) | 12 | 7.23 | 1.45(0.75,2.81) | 31 | 18.67 | 0.92(0.60,1.42) | |
Semen abnormalities | No | 515 | 6.59 | Ref | 309 | 3.95 | Ref | 688 | 8.81 | Ref | 385 | 4.93 | Ref | 1397 | 17.88 | Ref |
Yes | 101 | 6.95 | 1.08(0.86,1.35) | 72 | 4.95 | 1.31(1.00,1.71) | 120 | 8.25 | 0.90(0.74,1.11) | 74 | 5.09 | 1.04(0.80,1.35) | 260 | 17.88 | 0.99(0.85,1.15) | |
Endometriosis | No | 532 | 6.52 | Ref | 325 | 3.98 | Ref | 726 | 8.89 | Ref | 400 | 4.90 | Ref | 1484 | 18.18 | Ref |
Yes | 84 | 7.62 | 1.29(1.01,1.65) | 56 | 5.08 | 1.37(1.01,1.85) | 82 | 7.43 | 0.85(0.66,1.08) | 59 | 5.35 | 1.05(0.78,1.40) | 173 | 15.68 | 0.88(0.73,1.05) | |
PCOS | No | 542 | 6.35 | Ref | 342 | 4.01 | Ref | 746 | 8.74 | Ref | 432 | 5.06 | Ref | 1517 | 17.77 | Ref |
Yes | 74 | 10.11 | 1.65(1.25,2.18) | 39 | 5.33 | 1.30(0.90,1.87) | 62 | 8.47 | 0.74(0.55,0.99) | 27 | 3.69 | 0.74(0.49,1.12) | 140 | 19.13 | 0.90(0.73,1.10) | |
Other ovulation failure | No | 588 | 6.60 | Ref | 363 | 4.08 | Ref | 779 | 8.75 | Ref | 436 | 4.90 | Ref | 1605 | 18.02 | Ref |
Yes | 28 | 7.76 | 1.28(0.85,1.92) | 18 | 4.99 | 1.36(0.83,2.24) | 29 | 8.03 | 0.88(0.59,1.32) | 23 | 6.37 | 1.33(0.85,2.08) | 52 | 14.40 | 0.75(0.55,1.02) | |
Tubal factor | No | 112 | 7.87 | Ref | 67 | 4.71 | Ref | 128 | 9.00 | Ref | 79 | 5.55 | Ref | 265 | 18.62 | Ref |
Yes | 504 | 6.43 | 0.95(0.74,1.21) | 314 | 4.00 | 1.03(0.76,1.40) | 680 | 8.67 | 0.88(0.70,1.11) | 380 | 4.84 | 0.92(0.69,1.23) | 1392 | 17.75 | 0.89(0.76,1.06) | |
Uterine factor | No | 503 | 6.30 | Ref | 302 | 3.78 | Ref | 702 | 8.80 | Ref | 391 | 4.90 | Ref | 1438 | 18.02 | Ref |
Yes | 113 | 8.78 | 1.42(1.14,1.77) | 79 | 6.14 | 1.60(1.23,2.08) | 106 | 8.24 | 0.89(0.72,1.11) | 68 | 5.28 | 1.08(0.83,1.42) | 219 | 17.02 | 0.90(0.77,1.06) | |
Others* | No | 599 | 6.64 | Ref | 372 | 4.13 | Ref | 783 | 8.69 | Ref | 449 | 4.98 | Ref | 1609 | 17.85 | Ref |
Yes | 17 | 6.75 | 1.05(0.63,1.75) | 9 | 3.57 | 0.80(0.40,1.59) | 25 | 9.92 | 1.21(0.78,1.87) | 10 | 3.97 | 0.68(0.35,1.30) | 48 | 19.05 | 1.18(0.85,1.65) | |