Offspring of subfertile couples: neurodevelopmental outcome at preschool age. Pamela Schendelaar

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1 Offspring of subfertile couples: neurodevelopmental outcome at preschool age Pamela Schendelaar

2 The studies in this thesis have been carried out with financial support from the University of Groningen, the University Medical Center Groningen (grant number ), the Junior Scientific Masterclass, the Postgraduate School of Behavioural and Cognitive Neurosciences, the Netherlands Organization for Health Research and Development (ZonMw, grant number ) and the Cornelia Foundation. The printing of this thesis was financially supported by the University of Groningen, the University Medical Center Groningen, Ferring B.V., Goodlife Pharma, Noord Negentig and Origio Benelux B.V. Their support is gratefully acknowledged. Offspring of subfertile couples: neurodevelopmental outcome at preschool age Copyright 2015, P. Schendelaar, the Netherlands. All rights reserved. No part of this thesis may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording or any information storage and retrieval system, without prior written permission of the author or, when appropriate, of the publishers of the publications. ISBN: ISBN electronic version: Cover: A toddler s hand reaches for the pine cone which is held by its mother. Reaching and grasping small objects is part of the neurological examination to evaluate a child s fine manipulative abilities. The pine cone was a familiar fertility symbol in ancient times. In this drawing, handing over a pine cone like if it is a toy, symbolizes the shift from the wonder and mystery of reproduction and pregnancy towards something that is nowadays more understandable, tangible and verifiable. Cover design: Rinze Schols, drawings by Rinze Schols & Pamela Schendelaar, 2014 Thesis lay-out: Pamela Schendelaar Printed by: Studio Michał Sławiński, thesisprint.eu

3 Offspring of subfertile couples: neurodevelopmental outcome at preschool age Proefschrift ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen op gezag van de rector magnificus prof. dr. E. Sterken en volgens besluit van het College voor Promoties. De openbare verdediging zal plaatsvinden op maandag 16 februari 2015 om uur door Pamela Schendelaar geboren op 2 december 1987 te Amersfoort

4 Promotores Prof. dr. M. Hadders-Algra Prof. dr. M.J. Heineman Copromotor Dr. K.J. Middelburg Beoordelingscommissie Prof. dr. O.F. Brouwer Prof. dr. S.A. Scherjon Prof. dr. F. van der Veen

5 Paranimfen Jorien Seggers Anne van Zoonen

6

7 If you can dream it, you can do it - Walt Disney voor papa & mama voor oma voor Henna

8

9 CONTENTS CHAPTER 1 General introduction Part I: The Groningen ART cohort study CHAPTER Movement variation in infants born following IVF/ICSI with and without ovarian hyperstimulation CHAPTER The Groningen ART cohort study: the effects of ovarian hyperstimulation and the IVF laboratory procedures on neurological condition at 2 years CHAPTER Increased time to pregnancy is associated with suboptimal neurological condition of 2-year-olds CHAPTER Increased time to pregnancy is associated with less optimal neurological condition in 4-year-old singletons, in vitro fertilization itself is not CHAPTER Subfertility factors rather than assisted conception factors affect cognitive and behavioural development of 4-year-old singletons Part II: The PGS study CHAPTER The effect of preimplantation genetic screening on neurological, cognitive and behavioural development in 4-year-old children: follow-up of a RCT CHAPTER 8 General discussion CHAPTER 9 Summary CHAPTER 10 Nederlandse samenvatting (Summary in Dutch) APPENDICES References Dankwoord (Acknowledgements) Over de auteur (About the author) List of publications

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