ANALYSIS OF ECTOPIC PREGNANCIES RESULTING FROM INVITRO FERTILIZATION AND EMBRYO TRANSFER

被引:47
作者
KARANDE, VC [1 ]
FLOOD, JT [1 ]
HEARD, N [1 ]
VEECK, L [1 ]
MUASHER, SJ [1 ]
机构
[1] EASTERN VIRGINIA MED SCH,HOWARD & GEOREANNA JONES INST REPROD MED,DEPT OBSTET & GYNECOL,NORFOLK,VA 23507
关键词
ECTOPIC; IVF; TUBAL PREGNANCY; RISK FACTORS; FECUNDITY;
D O I
10.1093/oxfordjournals.humrep.a137356
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The purpose of this study was to analyse the risk factors, stimulation characteristics, site and outcome of pregnancy and future fecundity of patients who develop ectopic pregnancies after in-vitro fertilization (IVF). Of 3145 transfer cycles between January 1981 and July 1989, 27 (3.3%) of the resulting 825 pregnancies were ectopic. There was a significantly greater incidence of a prior ectopic pregnancy in the study group compared to the controls. Compared to matched controls with intrauterine pregnancies, the study group had significantly higher peak oestradiol levels. Twenty-one ectopic pregnancies were ampullary, two were interstitial, one was abdominal, one was cervical and two were heterotopic. Sixteen of the patients subsequently underwent 40 IVF attempts with a pregnancy rate of 28% per transfer. We conclude that patients with a prior ectopic pregnancy are at risk for an IVF ectopic pregnancy. The subsequent IVF outcome of those who develop ectopic pregnancies after IVF is encouraging.
引用
收藏
页码:446 / 449
页数:4
相关论文
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