{"paper_id":"f7c4c887-86ad-4aa3-ae38-42bda86476d0","body_text":"Abstract\nPurpose\nThe aim of this study is to evaluate frequency of hospitalization before, during, and after assisted reproductive technology (ART) treatment by cycle outcome.\nMethods\nSix thousand and one hundred thirty women residing in Massachusetts undergoing 17,135 cycles of ART reported to the Society for Assisted Reproductive Technology Clinic Outcome Reporting System (SARTCORS) from 2004 to 2011 were linked to hospital discharges and vital records. Women were grouped according to ART treatment cycle outcome as: no pregnancy (n = 1840), one or more pregnancies but no live birth (n = 968), or one or more singleton live births (n = 3322). Hospital delivery discharges during 1998–2011 were categorized as occurring before, during, or after the ART treatment. The most prevalent ICD-9 codes for non-delivery hospital discharges were compared. Groups were compared using chi square test using SAS 9.3 software.\nResults\nThe proportion of any hospitalization was 57.0, 58.3, and 91.3% for women with no pregnancy, no live birth, and ART singleton live birth, respectively; the proportion of non-delivery hospitalizations was 30.4, 31.0, and 28.3%, respectively. The non-ART delivery proportion after ART treatment did not differ by group (33.4, 36.2, and 36.9%, respectively, p = 0.17). Most frequent non-delivery diagnoses (including fibroids, obesity, ectopic pregnancy, depression, and endometriosis) also did not differ by group. A secondary analysis limited to only women with no delivery discharges before the first ART cycle showed similar results.\nConclusions\nAll groups had live birth deliveries during the study period, suggesting an important contribution of non-ART treatment or treatment-independent conception to overall delivery and live births. 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Maternal Child Health Journal. 2014;18:2167–78.\nAcknowledgments\nSART wishes to thank all of its members for providing clinical information to the SARTCORS database for use by patients and researchers. Without the efforts of our members, this research would not have been possible.\nWe wish to acknowledge the excellent technical support from the Massachusetts Center for Health Information and Analysis.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEthics declarations\nConflict of interest\nBL is a research consultant to the Society for Assisted Reproductive Technology (SART). JES, DG, SM, CCC have no conflicts to declare.\nFunding\nNIH 2R01HD067270 The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Child Health and Human Development or the National Institutes of Health.\nRights and permissions\nAbout this article\nCite this article\nStern, J.E., Gopal, D., Diop, H. et al. Inpatient hospitalizations in women with and without assisted reproductive technology live birth. J Assist Reprod Genet 34, 1043–1049 (2017). https://doi.org/10.1007/s10815-017-0961-z\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s10815-017-0961-z","source_license":"CC0","license_restricted":false}