Infertility Treatment and Hypertension in Pregnancy: The Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study

Author:

Ishikuro Mami12,Obara Taku123ORCID,Murakami Keiko12,Ueno Fumihiko12,Noda Aoi123,Onuma Tomomi12,Matsuzaki Fumiko12ORCID,Kikuya Masahiro14,Watanabe Zen23,Shiga Naomi23,Tachibana Masahito2,Iwama Noriyuki123,Hamada Hirotaka23,Saito Masatoshi23,Sugawara Junichi1235,Metoki Hirohito16,Yaegashi Nobuo123,Kuriyama Shinichi127

Affiliation:

1. Tohoku Medical Megabank Organization, Tohoku University, 2-1 Seiryo-machi, Aoba-ku, Sendai 980-8573, Japan

2. Graduate School of Medicine, Tohoku University, 2-1 Seiryo-machi, Aoba-ku, Sendai 980-8575, Japan

3. Tohoku University Hospital, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan

4. School of Medicine, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo 173-8605, Japan

5. Suzuki Memorial Hospital, 3-5-5, Satonomori, Iwanuma 989-2481, Japan

6. Faculty of Medicine, Tohoku Medical and Pharmaceutical University, 1-15-1, Fukumuro, Miyagino-ku, Sendai 983-8536, Japan

7. International Research Institute of Disaster Science, Tohoku University, 2-1 Seiryo-machi, Aoba-ku, Sendai 980-8573, Japan

Abstract

Infertility treatment is a possible factor in hypertensive disorders of pregnancy (HDP). Identifying the characteristics of pregnant women who have undergone infertility treatment and have a potential risk for HDP is valuable for its prevention and treatment. Using data from 12,456 pregnant Japanese women from the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study, the association between infertility treatment and HDP was analyzed. A multiple logistic regression model showed an association between infertility treatment and HDP (odds ratio, 1.34; 95% confidence interval, 1.05–1.72). In vitro fertilization/intracytoplasmic sperm injection were also associated with HDP. Moreover, these associations were observed even among women who were not overweight and did not smoke. The application of infertility treatment should be carefully considered, even among women with low modifiable risk factors.

Funder

Japan Agency for Medical Research and Development

Publisher

MDPI AG

Subject

General Earth and Planetary Sciences,General Environmental Science

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