Psychological follow- up of children born after intracytoplasmic sperm injection (ICSI)
L. Baron, G. Rey Valzacchi, L. Blanco, S. Pasqualini. Halitus Instituto Médico, Buenos Aires, Argentina.
Objectives : to evaluates the maturation and the psychological, neurological development of children born after ICSI and their families in an assisted reproduction center
Design : Prospective.
Materials and Method : 50 children chosen at random from the department of follow- up of children born after assisted reproductive technique procedures between birth and their 5th birthday. Collection of data was carried out through the following: 1) patients were contacted by mail , 2) parents were requested to complete a questionnaire; 3) interview of psychologist and child pediatrician; 4) the medical team/parents/pediatrician and child had a joint interview; 5) children also underwent psychological play time ;6) parents/children had a psychological interview , 7) pediatric and school reports. Psychological and pediatrics interviews were held monthly between the child´s birth and first birthday , every three months when the child was between 1 and 2 years old, and every six months from that time until he/ she was 5 years old. Lajarraga scales were used to determine physical development and Gesell’s for neurological development respectively.
Results: The pediatric and neurological development of children born after ICSI procedures was in keeping with that of the normal population. From the psychological point of view , they had all gone through the expected evolutive stages. 36/50 parents expressed having feared malformations during the pregnancy; 45/50 of them acknowledged having felt those fears during the delivery and 20/50 kept experiencing that fear despite the fact that their children were normal. Patients regarded themselves as being overprotective towards their children.
Conclusion: our results suggest that up the age evaluated, children born after ICSI procedures present parameters which fall within that of the normal population and that their parents attitudes are in keeping with their previous history.