Those findings have important health policy implications for improving birth outcomes in high-risk pregnancies. The findings of that study showed that delays in receiving prenatal care increased the preterm birth risk, while more-frequent use of prenatal care significantly improved the birth weight among pregnancies at high risk for an LBW baby, including women with low fertility. , the effect of prenatal care use on birth outcomes was evaluated after accounting for women’s health and fertility characteristics. However, impacts of prenatal care on adverse birth and obstetric outcomes in infertile women have seldom been investigated. Previous studies showed that women with singleton births who used various treatment modalities for infertility, including assisted reproductive technologies (ARTs), have worse pregnancy outcomes despite the adequate use of prenatal care, compared to the general population. Studies showed that even after adjusting for age and parity, subfertile women are at higher risk of preeclampsia, placenta previa, and placental abruption, and are more likely to undergo induction of labor, have a cesarean section (CS), and deliver LBW and preterm infants. Extensive use of prenatal care is often linked to high-risk pregnancies however the impacts of prenatal care on adverse pregnancy outcomes in high-risk pregnancies have not been widely explored.Īppropriate prenatal screening and counseling are of crucial importance for pregnant women with a history of infertility these women are mostly older than average pregnant women, have a greater number of chronic conditions, and are at risk for spontaneous pregnancy loss and chromosomal abnormalities. Under-attending antenatal care appears to be a significant contributor to low birth weight (LBW) babies, preterm birth, obstetric complications, and neonatal mortality. Prenatal care is recognized as a key population-wide public health intervention to prevent adverse pregnancy outcomes.
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