“…Comparison of placental development in natural pregnancies and pregnancies achieved by various ART, such as after transfer of embryos created through cloning or IVF, has demonstrated numerous significant effects of ART on placental and fetal growth and development, as well as offspring outcomes in several species [9,11,34]. In various animals, including mice, cattle, and sheep, impaired placental steroid metabolism, abnormal offspring syndrome, increased duration of gestation, and altered placental vascular development, have been reported with the use of ART [9,11,23,24,[32][33][34][35]. In addition, in sheep, use of ART significantly decreased fetal size at the third week of pregnancy and this was accompanied by decreased placental vascularity and cell proliferation, and altered expression of genes involved in epigenetic processes (e.g., 5-methyl cytosine and DNA methyl transferases), as well as factors involved in regulation of placental growth (e.g., steroid hormone receptors) and angiogenesis (e.g., several angiogenic and growth factors [24,32,33,35,55]).…”