| Abstract | Medicinski potpomognuta oplodnja kontroverzna je tema, ali prisutnost tog medicinskog postupka sve je veća. Stoga je potrebno istražiti dugoročne ishode kod djece začete medicinski potpomognutom oplodnjom prvenstveno radi informiranja osoba koje razmišljaju o pristupanju tom postupku, ali i stručnjaka koji tu metodu razvijaju, kao i radi onih koji se bave teškoćama koje iz tog postupka potencijalno proizlaze. Dio tih stručnjaka čine i logopedi koji se bave teškoćama na području komunikacije, jezika, govora, hranjenja i gutanja. Kako je količina literature posvećena teškoćama djece začete medicinski potpomognutom oplodnjom u navedenim, “logopedskim” područjima relativno mala, ovaj istraživački diplomski rad ima za cilj ispitati učestalost i vrstu “logopedskih” dijagnoza koje se pojavljuju kod djece začete medicinski potpomognutom oplodnjom. S obzirom na to da literatura izvještava kako mnoge teškoće djece začete medicinski potpomognutom oplodnjom nastaju ne samo pod utjecajem postupaka medicinski potpomognute oplodnje, nego i zbog prenatalnih, perinatalnih i postnatalnih zbivanja, ispitana je i učestalost i vrsta neurorizika prisutnog kod djece začete medicinski potpomognutom oplodnjom. Istraživanje je provedeno na uzorku od dvadeset i devetero djece začete medicinski potpomognutom oplodnjom te je utvrđeno da su najučestalije vrste “logopedskih” dijagnoza kod djece začete medicinski potpomognutom oplodnjom one na područje komunikacije te je komunikacijske teškoće imalo 55,2% ispitanika. Neurorizik je pronađen kod visokih 93,1% ispitanika, a najučestalijom vrstom neurorizika pokazale su se perinatalne teškoće koje je imalo 72,4% ispitanika. Ovaj istraživački diplomski rad deskriptivne je i preliminarne naravi te ne donosi nove uzročnoposljedične zaključke o povezanosti medicinski potpomognute oplodnje i “logopedskih” dijagnoza, nego izvještava o učestalosti i vrstama dijagnoza te opisuje do sad istražene posljedice (neuro)rizika kod djece začete medicinski potpomognutom oplodnjom kako bi uputio na daljnja istraživanja tih pojava. |
| Abstract (english) | Medically assisted reproduction is a controversial topic, while the incidence of this medical procedure is becoming greater. Therefore, it is necessary to study the long-term outcomes in children conceived by medically assisted reproduction, primarily for the purpose of providing information for people who consider this procedure, but also for the experts who work on developing the method, as well as for those who deal with the disabilities that potentially stem from this procedure. A part of these experts are speech and language pathologists who deal with disorders of communication, language, speech, feeding and swallowing. Considering that the amount of literature dealing with disabilities of children conceived by medically assisted reproduction in the aforementioned field of communication, language, speech, feeding and swallowing is relatively small, this graduate thesis aims to study the frequency and types of communication, language, speech, feeding and swallowing disorders which appear in children conceived by medically assisted reproduction. In view of the fact that the literature suggests that many disabilities in children conceived by medically assisted reproduction appear not only under the influence of assisted reproductive technologies, but also because of prenatal, perinatal and postnatal factors, the frequency and types of neurorisk in these children had been studied too. The research had been conducted with a sample of twenty-nine children conceived by medically assisted reproduction. The results show that the most common diagnoses in children conceived by medically assisted reproduction are communication disorders, with 55.2% of the respondents having these disorders. Neurorisk was found in 93.1% of the respondents, while the most common type of neurorisk proved to be perinatal disorders, found in 72.4% of the respondents. This graduate thesis is of descriptive and preliminary nature and does not bring causal links nor conclusions about the correlation between medically assisted reproduction and communication, language, speech, feeding and swallowing disorders. Rather, it reports on the frequency and types of diagnoses and describes the consequences of the (neuro)risks that have been researched so far in children conceived by medically assisted reproduction, in order to show the need for further research on this topic. |
