Is It Possible to Have Normal Delivery in IVF?

IVF (In Vitro Fertilization) As A Fertility Treatment

IVF, or in vitro fertilization^[1], is a fertility treatment procedure designed to assist individuals or couples in achieving pregnancy when natural conception is challenging. It involves the combination of eggs and sperm outside the body, in a laboratory setting.

Typically, the process starts by encouraging the ovaries to generate several mature eggs. Then, after a quick surgical procedure, these eggs are removed from the woman's ovaries. In the meantime, sperm gets taken from either the male partner or a donor. The sperm and eggs are mixed in a controlled environment in the lab to enable fertilization. Before one or more resulting embryos are placed into the woman's uterus to create a successful pregnancy, they are observed and cultivated in the lab for a few days.

IVF may be recommended for various fertility challenges, including blocked fallopian tubes, male factor infertility, ovulation disorders, or unexplained infertility. The treatment offers hope and an opportunity for individuals and couples to realize their dream of having a baby.

Related Blog: Everything You Need to Know Before You Do IVF

How does IVF work?

Here is a step-by-step breakdown of how IVF works^[1]:

• Ovarian Stimulation: The woman receives fertility medications to stimulate her ovaries and promote the development of multiple mature eggs.
• Monitoring: Regular ultrasounds and hormone level tests get conducted to monitor the growth and development of the ovarian follicles.
• Egg Retrieval: Once the eggs have reached an optimal stage of maturation, they are retrieved from the woman's ovaries using a minor surgical procedure called follicular aspiration.
• Sperm Collection: A sperm sample gets collected from the male partner or a donor.
• Fertilization: The retrieved eggs and sperm get combined in a laboratory dish. Fertilization can occur naturally (conventional IVF) or through Intracytoplasmic Sperm Injection (ICSI), where a single sperm directly gets injected into each mature egg.
• Embryo Development: The resulting embryos are monitored and cultured in the laboratory for a few days to allow them to develop.
• Embryo Transfer: One or more embryos get transferred into the woman's uterus through a thin catheter, guided by ultrasound imaging. It is usually a painless procedure.
• Pregnancy Confirmation: After the embryo transfer, a period of waiting follows, and if successful, pregnancy can get confirmed through blood tests or ultrasound.

It is important to note that the specific protocols and variations of IVF procedures may differ among clinics and individuals, as treatment plans get tailored to each person's unique circumstances.

Is it possible to have a normal delivery after IVF?

Yes, it is possible to have a normal delivery after IVF (in vitro fertilization). IVF treatment^[2] does not inherently impact a woman's ability to have a normal delivery. Once a successful pregnancy gets achieved through IVF, the subsequent course of pregnancy and delivery is typically similar to that of a naturally conceived pregnancy.

Factors like the mother's overall health, the progress of the pregnancy, and any specific complications or circumstances will play a role in determining the mode of delivery.

The decision concerning the delivery method - whether normal vaginal delivery or cesarean section - will be at the healthcare provider's discretion based on individual considerations and the mother and baby's best interest. It is vital to discuss any concerns or questions about delivery options with the healthcare provider who can provide personalized guidance based on your specific situation.

Factors that may affect the chances of a normal delivery after IVF

Several factors can influence the chances of normal delivery after IVF (in vitro fertilization). These factors[2] include:

• Maternal Health: The overall health and well-being of the mother play a significant role. Factors such as pre-existing medical conditions, age, body mass index (BMI), and any pregnancy-related complications can impact the mode of delivery.
• Fetal Position: The position of the fetus in the womb can influence the feasibility of a normal delivery. Ideally, the baby should get positioned head-down (cephalic presentation) to facilitate vaginal delivery.
• Obstetric History: A woman's previous obstetric history, including previous deliveries, any previous cesarean sections, or complications during earlier pregnancies, can influence the mode of delivery for subsequent pregnancies.
• Fetal Well-being: The health and well-being of the fetus throughout the pregnancy, including fetal growth and development, will be monitored. If any concerns arise about the baby's health or position, it may impact the mode of delivery.
• Complications: Pregnancy-related complications, such as gestational diabetes, preeclampsia, placenta previa, or certain medical conditions, may increase the likelihood of a planned cesarean section.

It is important to remember that each pregnancy is unique, and decisions about the delivery method should get made in consultation with the healthcare provider. They will consider individual circumstances and medical factors to determine the safest and most appropriate delivery method for the mother and the baby.

Benefits of a normal delivery after IVF

The potential benefits^[2] associated with a normal delivery after IVF are:

• Shorter Recovery Time: Compared to a cesarean section, a normal delivery generally involves a shorter recovery period.
• Lower Risk of Surgical Complications: Normal deliveries typically carry a lower risk of surgical complications.
• Bonding and Breastfeeding: Skin-to-skin contact immediately after birth and early breastfeeding often get facilitated during normal delivery.
• Natural Hormone Release: The process of labor and vaginal birth triggers the release of hormones, such as oxytocin and endorphins, which can aid in pain management, promote uterine contraction, and enhance the mother's emotional well-being.
• Potential Reduction in Long-term Health Risks: Some studies suggest that a normal delivery may be associated with a lower risk of certain long-term health conditions, such as respiratory issues and childhood obesity, compared to cesarean section.

Reasons of a C-section after IVF

There can be various reasons for a cesarean section (C-section) after IVF (in vitro fertilization). These reasons may include:

• Fetal Position: If the baby is in a breech position (feet-first) or has other unfavorable positioning, a C-section may get recommended to ensure a safer delivery.
• Multiple Pregnancies: In cases of multiple pregnancies resulting from IVF, such as twins or higher-order multiples, the healthcare provider may determine that a C-section is the safest option for the well-being of the mother and the babies.
• Obstetric Complications: Certain pregnancy complications, such as placenta previa (placenta covering the cervix), placental abruption (premature separation of the placenta), or fetal distress, may necessitate a C-section to prevent potential risks to the mother or the baby.
• Maternal Health Considerations: If the mother has pre-existing health conditions that may get exacerbated by labor or vaginal delivery, the doctor may recommend a C-section to ensure her well-being.
• Previous Cesarean Section: If the woman has a history of earlier cesarean delivery, the healthcare provider may suggest a repeat C-section for subsequent pregnancies to minimize the risk of complications associated with vaginal birth after cesarean (VBAC).

How To Increase The Chances Of A Normal Delivery After IVF?

Increasing the chances of normal delivery after IVF (in vitro fertilization) is a desire for many individuals and couples. While there are no guarantees, there are steps that can potentially enhance the likelihood of vaginal birth. By taking these proactive measures, individuals can optimize their overall health, prepare their bodies for labor, and foster a collaborative approach with healthcare providers to increase the chances of normal delivery after IVF.

An expert, qualified IVF doctor will be able to make your pregnancy journey through IVF smooth and help you achieve a normal delivery if you so desire.

Engage in regular physical activity approved by your healthcare provider, such as walking or prenatal yoga, to promote optimal fetal positioning and prepare your body for labor.

Prioritize a balanced diet, regular exercise, and adequate rest to optimize your health and well-being during pregnancy.

Regular prenatal care ensures close monitoring of your pregnancy and allows healthcare providers to address any potential issues promptly.

If the desire for normal delivery does not go to plan, stay prepared for a C-section delivery as it will reduce stress.

Engage in meditation or other stress-busting activities to manage your stress levels.

Having a positive attitude goes a long way in a healthier pregnancy journey and increases your chances to have a normal delivery.

Is a Cesarean Section the only delivery option for IVF babies?

No, a Cesarean section (C-section) is not the only delivery option for IVF babies. Just like any other pregnancy, the mode of delivery for an IVF baby can vary depending on various factors, including the health of the mother and the baby, the position of the baby, obstetric history, and any pregnancy complications. In many cases, IVF babies are delivered through vaginal birth, also known as normal delivery.

The healthcare provider makes the decision regarding the mode of delivery in consultation with the mother, considering individual circumstances and the well-being of both the mother and the baby. It is vital to have open discussions with the healthcare team to understand the available options and make informed decisions regarding the delivery method for an IVF baby.

Conclusion

In conclusion, it is possible to have a normal delivery in IVF (in vitro fertilization). While certain factors, such as fetal position, multiple pregnancies, obstetric complications, or maternal health considerations, can influence the mode of delivery, many IVF pregnancies result in successful vaginal births. The goal of healthcare providers is to prioritize the safety and well-being of both the mother and the baby, and the decision regarding the mode of delivery is based on individual circumstances and medical considerations. Through open communication with the healthcare team, proper prenatal care, and a healthy lifestyle, individuals undergoing IVF can increase their chances of a normal delivery. It is important to remember that each pregnancy is unique, and the healthcare team will work closely with individuals to ensure the best possible outcome for safe and successful delivery.

Experience Expert IVF Care at DPU Hospital

If IVF is the way forward for you, contact us at DPU Private Super Specialty Hospital, where the experts can guide you and show you a complete picture of what your journey of motherhood would look like. Experience expert IVF care with state-of-the-art infrastructure and medical expertise as you will be in safe hands here.

References:

[1] https://my.clevelandclinic.org/health/treatments/22457-ivf

[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982974/