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Is pregnancy after assisted reproduction considered high-risk?

Not usually. Pregnancies after IVF, ICSI or IVM follow standard prenatal care, with no extra monitoring unless specific risk factors are present.

1 min read

A pregnant woman in a sheer draped gown holding her belly against a soft pink background

For most women, pregnancy achieved through assisted reproductive technology (ART)—whether via IVF, ICSI, or in vitro maturation (IVM)—is not automatically considered high-risk.

Although a history of infertility may cause emotional stress, studies show that pregnancies resulting from fresh or frozen embryo transfers do not require special medical monitoring beyond standard prenatal care.

What Kind of Monitoring Is Needed?

  • Women undergoing ART pregnancies follow the same prenatal care as naturally conceived pregnancies.
  • Routine ultrasounds in the first, second, and third trimesters are performed to monitor fetal development.
  • Screening for chromosomal abnormalities (e.g., Down syndrome) is offered, just as it is for all pregnancies.
  • In twin pregnancies, standard multiple pregnancy monitoring applies, regardless of whether conception occurred naturally or through ART.

In summary, most ART pregnancies progress normally and do not require extra medical interventions unless specific maternal or fetal risk factors are present.

General information, not a diagnosis: talk to your doctor about your own situation.

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Written by

  • Prof. Arash Rafii

    Professor of Obstetrics, Gynecology and Genetic Medicine

    Sidra Hospital

  • Prof. Michaël Grynberg

    Professor of Reproductive Medicine, Obstetrics and Gynecology

    Antoine Béclère and Jean Verdier University Hospitals

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