Table 1.
Spontaneous conception (N = 269,986)* |
Non-spontaneous conception (N = 7057)* |
p-value*** | IVF/ICSI | p-value*** | IVF | p-value*** | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
N | %** | N | % | N | %** | N | %** | ||||
Maternal age (yrs) | |||||||||||
≤24 | 28,660 | 10.7 | 60 | 0.9 | <0.0001 | 15 | 0.3 | <0.0001 | 11 | 0.5 | <0.0001 |
25–29 | 58,974 | 21.9 | 466 | 6.6 | 293 | 5.7 | 121 | 5.5 | |||
30–34 | 91,841 | 34.2 | 1932 | 27.4 | 1355 | 26.1 | 552 | 25.2 | |||
35–39 | 71,969 | 26.8 | 2886 | 41.0 | 2258 | 43.5 | 904 | 41.3 | |||
40+ | 17,332 | 6.5 | 1700 | 24.1 | 1268 | 24.4 | 602 | 27.5 | |||
Mean (SD) | 31.8 (5.4) | 36.3 (4.8) | |||||||||
Paternal age (yrs) | |||||||||||
≤ 29 | 39,714 | 15.4 | 176 | 2.6 | <0.0001 | 84 | 1.7 | <0.0001 | 41 | 2.0 | <0.0001 |
30–34 | 75,452 | 29.3 | 1177 | 17.4 | 806 | 16.2 | 351 | 16.8 | |||
35–39 | 84,796 | 32.9 | 2558 | 37.9 | 1902 | 38.2 | 780 | 37.2 | |||
40–44 | 41,460 | 16.1 | 1865 | 27.6 | 1447 | 29.1 | 624 | 29.8 | |||
45+ | 16,071 | 6.2 | 979 | 14.5 | 736 | 14.8 | 298 | 14.2 | |||
Mean (SD) | 35.3 (6.0) | 39.0 (5.6) | |||||||||
Maternal education | |||||||||||
University | 72,515 | 27.0 | 2802 | 39.8 | <0.0001 | 2120 | 40.8 | <0.0001 | 786 | 35.8 | <0.0001 |
High school degree | 117,422 | 43.7 | 3139 | 44.5 | 2306 | 44.4 | 1020 | 46.5 | |||
Primary/intermediate school or no education | 78,684 | 29.3 | 1108 | 15.7 | 770 | 14.8 | 388 | 17.7 | |||
Paternal education | |||||||||||
University | 52,240 | 20.1 | 2041 | 30.0 | <0.0001 | 1582 | 31.5 | <0.0001 | 614 | 29.1 | <0.0001 |
High school degree | 110,415 | 42.6 | 3060 | 44.9 | 2214 | 44.1 | 925 | 43.9 | |||
Primary/intermediate school or no education | 96,835 | 37.3 | 1713 | 25.1 | 1225 | 24.4 | 568 | 27.0 | |||
Cityzenship of the mother | |||||||||||
Italian | 190,834 | 70.8 | 6244 | 88.6 | <0.0001 | 4574 | 88.1 | <0.0001 | 1895 | 86.5 | <0.0001 |
Foreign | 78,840 | 29.2 | 805 | 11.4 | 617 | 11.9 | 296 | 13.5 | |||
Geographical area of foreign citizenship | |||||||||||
Europe | 25,874 | 32.8 | 416 | 51.7 | 332 | 53.8 | 160 | 54.0 | |||
Africa | 23,476 | 29.8 | 157 | 19.5 | 116 | 18.8 | 61 | 20.6 | |||
Asia | 16,530 | 21.0 | 93 | 11.6 | 71 | 11.5 | 30 | 10.1 | |||
Southern America | 9473 | 12.0 | 90 | 11.2 | 63 | 10.2 | 36 | 12.2 | |||
USA, Canada | 184 | 0.2 | 8 | 1.0 | 5 | 0.8 | 2 | 0.7 | |||
Other or missing | 3303 | 4.2 | 41 | 5.1 | 30 | 4.9 | 7 | 2.4 | |||
Number of ultrasound examination | |||||||||||
0 | 4016 | 1.5 | 75 | 1.1 | <0.0001 | 57 | 1.1 | <0.0001 | 29 | 1.3 | <0.0001 |
1 | 3305 | 1.2 | 40 | 0.6 | 19 | 0.4 | 7 | 0.3 | |||
2 | 9716 | 3.6 | 66 | 0.9 | 41 | 0.8 | 12 | 0.6 | |||
3 | 88,116 | 32.6 | 1006 | 14.3 | 635 | 12.2 | 271 | 12.4 | |||
4–6 | 108,839 | 40.3 | 2430 | 34.4 | 1757 | 33.8 | 765 | 34.9 | |||
7–9 | 55,994 | 20.7 | 3440 | 48.8 | 2690 | 51.7 | 1110 | 50.6 | |||
Amniocentesis | |||||||||||
No | 234,318 | 89.0 | 5621 | 81.5 | <0.0001 | 4088 | 80.7 | <0.0001 | 1714 | 80.0 | <0.0001 |
Yes | 28,986 | 11.0 | 1273 | 18.5 | 979 | 19.3 | 429 | 20.0 | |||
Chorionic villus sampling | |||||||||||
No | 246,824 | 94.0 | 6164 | 89.9 | <0.0001 | 4507 | 89.4 | <0.0001 | 1928 | 90.4 | <0.0001 |
Yes | 15,705 | 6.0 | 696 | 10.1 | 534 | 10.6 | 205 | 9.6 | |||
Course of pregnancy | |||||||||||
Phisiological | 252,253 | 93.4 | 5787 | 82.0 | <0.0001 | 4250 | 81.9 | <0.0001 | 1792 | 81.7 | <0.0001 |
Pathological | 16,870 | 6.2 | 1253 | 17.8 | 937 | 18.1 | 400 | 18.3 | |||
Status | |||||||||||
Liveborn | 269,528 | 99.8 | 7004 | 99.3 | <0.0001 | 5158 | 99.5 | NE | 2177 | 99.3 | NE |
Stillborn | 117 | 0.0 | 17 | 0.2 | 13 | 0.3 | 7 | 0.3 | |||
Early neo-natal mortality 0–7 days | 190 | 0.1 | 21 | 0.3 | 8 | 0.2 | 6 | 0.3 | |||
Neo-natal mortality 8–28 days | 101 | 0.0 | 13 | 0.2 | 2 | 0.03 | 2 | 0.1 | |||
Sex | |||||||||||
Male | 139,190 | 51.6 | 3542 | 50.2 | 0.0237 | 2585 | 49.7 | 0.0088 | 1112 | 50.7 | 0.4163 |
Female | 130,796 | 48.4 | 3515 | 49.8 | 2614 | 50.3 | 1082 | 49.3 | |||
Birth | |||||||||||
Single | 263,707 | 97.7 | 4721 | 66.9 | <0.0001 | 3283 | 63.2 | <0.0001 | 1362 | 62.1 | <0.0001 |
Twin | 6279 | 2.3 | 2336 | 33.1 | 1916 | 36.9 | 832 | 37.9 | |||
Birthweight (gr) | |||||||||||
< 1000 | 904 | 0.3 | 134 | 1.9 | <0.0001 | 107 | 2.1 | <0.0001 | 49 | 2.2 | <0.0001 |
1000–1499 | 1539 | 0.6 | 243 | 3.4 | 190 | 3.7 | 84 | 3.8 | |||
1500–2499 | 15,553 | 5.8 | 1695 | 24.0 | 1340 | 25.8 | 576 | 26.3 | |||
2500–3999 | 237,388 | 87.9 | 4787 | 67.8 | 3433 | 66.0 | 1425 | 65.0 | |||
4000+ | 14,602 | 5.4 | 198 | 2.8 | 129 | 2.5 | 60 | 2.7 | |||
Mean (SD) | 3240 (518.9) | 2819 (716.2) | |||||||||
Gestational age at birth | |||||||||||
< 32 | 2289 | 0.9 | 348 | 4.9 | <0.0001 | 274 | 5.3 | <0.0001 | 120 | 5.5 | <0.0001 |
32–36 | 16,054 | 5.9 | 1688 | 24.0 | 1325 | 25.5 | 602 | 27.4 | |||
37–40 | 210,764 | 78.2 | 4420 | 62.7 | 3163 | 60.9 | 1308 | 59.6 | |||
41+ | 40,528 | 15.0 | 591 | 8.4 | 432 | 8.3 | 164 | 7.5 |
NE not evaluable
*In some cases the sum does not add up the total due to missing values
**Column percent
***Heterogeneity Chi–square test