Effect of prior cesarean delivery on the outcomes of intracytoplasmic sperm injection.

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY

Clinical and Experimental Reproductive Medicine-CERM Pub Date : 2024-03-01 Epub Date: 2024-01-12 DOI:10.5653/cerm.2023.06163

Suzan Atteya Gewida, Mohamed Salah Eldeen Abd Rabbo, Mohammed Abd Elmoety El Samra, Hesham Mahmoud Adel Abdel Moneim

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Abstract

Objective: This study was conducted to investigate the impact of previous delivery mode on pregnancy outcomes in patients with secondary infertility after frozen-thawed embryo transfer.

Methods: This prospective observational study included 140 patients experiencing secondary infertility. Of these, 70 patients had a previous cesarean delivery (CD), while the remaining 70 patients had a previous normal vaginal delivery (NVD). The primary outcome was the implantation rate. The secondary outcomes included rates of clinical pregnancy, chemical pregnancy, miscarriage, and ectopic pregnancy.

Results: The comparison of all fertility outcomes between the two groups revealed no statistically significant differences. The implantation rate was 40.4% in the CD group and 41.7% in the NVD group (p=0.842). The clinical pregnancy rate was 50% in the CD group and 49.3% in the NVD group (p=0.932), while the chemical pregnancy rate was 14.6% in the CD group and 19% in the NVD group (p=0.591). The miscarriage rates in the CD and NVD groups were 20% and 17.6%, respectively (p=0.803). One case of tubal ectopic pregnancy occurred in the NVD group (1.4%).

Conclusion: The mode of prior delivery did not significantly impact pregnancy outcomes following frozen-thawed embryo transfer.

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剖腹产对卵胞浆内单精子注射结果的影响。

目的本研究旨在探讨冷冻解冻胚胎移植后，以往分娩方式对继发性不孕患者妊娠结局的影响：这项前瞻性观察研究纳入了 140 名继发性不孕患者。其中，70 名患者曾进行过剖宫产（CD），其余 70 名患者曾进行过正常阴道分娩（NVD）。主要结果是植入率。次要结果包括临床妊娠率、化学妊娠率、流产率和宫外孕率：两组所有生育结果的比较结果显示，差异无统计学意义。CD组的植入率为40.4%，NVD组为41.7%（P=0.842）。CD组的临床妊娠率为50%，NVD组为49.3%（P=0.932），而CD组的化学妊娠率为14.6%，NVD组为19%（P=0.591）。CD组和NVD组的流产率分别为20%和17.6%（P=0.803）。NVD组有一例输卵管异位妊娠（1.4%）：结论：分娩方式对冷冻解冻胚胎移植后的妊娠结局没有明显影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Experimental Reproductive Medicine-CERM Multiple-

CiteScore

3.30

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0.00%

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