孕育希望:试管婴儿尝试失败后使用体外受精术的生殖结果。

IF 1.1 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Complementary Medicine Research Pub Date : 2024-01-01 Epub Date: 2024-05-20 DOI:10.1159/000539408
Antonia Pfeiffer, Annemarie Schweizer-Arau, Roxana M Popovici, Astrid Vogel, Yumiko von Hasselbach, Florian Beissner, Karin Meissner
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引用次数: 0

摘要

导言:对于尝试过体外受精(IVF)失败并面临导致不孕的医疗问题的妇女来说,重新努力寻求生育治疗,再加上成功的可能性越来越小,会给她们带来巨大的精神和身体压力。因此,许多夫妇在怀孕前选择中止治疗。本研究的目的是评估曾尝试试管婴儿但未成功的患者接受旨在减轻情绪困扰和负担的辅助治疗后的生育结果:本研究对 2014 年 1 月至 2016 年 12 月期间在一家私人诊所接受辅助治疗的不孕不育患者的数据进行了回顾性分析。检索了有关诊断、不孕症病史、之前的辅助生殖技术治疗、受孕方式和妊娠结果的信息:对133名曾有一次或多次试管婴儿治疗失败史的患者的数据进行了分析。患者平均年龄为 36.7 岁(± 4.4 SD),平均不孕时间为 4.6 年(± 2.7 SD)。导致他们不孕的两个主要原因是子宫内膜异位症(36.1%,48 名患者)和卵子质量下降(31.6%,42 名患者)。截至 2020 年 5 月,大部分患者(81.2%,108 人)已成功怀孕,活产 94 例,成功率为 70.7%。这些妊娠大多来自自然周期试管婴儿(35.1%)、捐献周期试管婴儿(23.4%)和传统试管婴儿(21.3%)。辍学率相对较低,为 23.3%。从开始辅助治疗到分娩的中位时间为 18 个月,范围在 12 到 28 个月之间:这项研究强调了辅助治疗方法与标准医疗护理相结合的潜在价值,适用于过去试管婴儿治疗不成功、因而做母亲的机会减少的妇女。据报道,71%的活产率非常高,这表明,辅助治疗的加入可能会为过去试管婴儿治疗失败的妇女提供一个成功怀孕和分娩的切实机会。不过,这些发现还需要通过随机对照研究来证实。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nurturing Hope: Reproductive Outcomes with Sinosomatics following Unsuccessful in vitro Fertilization Attempts.

Introduction: For women who have experienced failed attempts at in vitro fertilization (IVF) and face medical issues, leading to infertility, the renewed effort to seek fertility treatment, coupled with decreasing likelihood of success, can exert substantial emotional and physical strains. Consequently, many couples opt to discontinue treatment before attaining pregnancy. The objective of this study was to evaluate the reproductive outcomes in patients with unsuccessful prior IVF attempts who received a complementary treatment designed to alleviate emotional distress and burden.

Patients and methods: A retrospective analysis of data from infertile patients who initiated the complementary intervention at a private clinic between January 2014 and December 2016 was conducted. Information on diagnosis, history of infertility, prior assisted reproductive technology treatments, mode of conception, and pregnancy outcomes were retrieved.

Results: The data of 133 patients with a history of one or more unsuccessful IVF treatments were analyzed. Patients had an average age of 36.7 years (±4.4 SD) and had been experiencing infertility for an average of 4.6 years (±2.7 SD). The two main causes of their infertility were endometriosis (36.1%, 48 patients) and diminished egg quality (31.6%, 42 patients). By May 2020, a significant proportion of the patients, 81.2% (108 patients), had achieved pregnancy, leading to 94 live births, which represents a 70.7% success rate. These pregnancies mostly resulted from natural cycle IVF (35.1%), donor cycles (23.4%), and conventional IVF (21.3%). The dropout rate was comparatively low at 23.3%. The median time from the start of complementary treatment to delivery was 18 months, with a range of 12-28 months.

Conclusions: This study highlights the potential value of complementary treatment approaches in conjunction with standard medical care for women who have experienced unsuccessful IVF treatments in the past and thus face a reduced chance of motherhood. The reported 71% live birth rate is notably high, indicating that the inclusion of complementary treatments may provide women with past IVF failures a tangible opportunity for achieving successful pregnancy and childbirth. However, these findings need to be confirmed through randomized controlled studies.

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来源期刊
Complementary Medicine Research
Complementary Medicine Research Medicine-Complementary and Alternative Medicine
CiteScore
2.90
自引率
5.60%
发文量
50
期刊介绍: Aims and Scope ''Complementary Medicine Research'' is an international journal that aims to bridge the gap between conventional medicine and complementary/alternative medicine (CAM) on a sound scientific basis, promoting their mutual integration. Accordingly, experts of both conventional medicine and CAM medicine cooperate on the journal‘s editorial board, which accepts papers only after a rigorous peer-review process in order to maintain a high standard of scientific quality. Spectrum of ''Complementary Medicine Research'': - Review and Original Articles, Case Reports and Essays regarding complementary practice and methods - Journal Club: Analysis and discussion of internationally published articles in complementary medicine - Editorials of leading experts in complementary medicine - Questions of complementary patient-centered care - Education in complementary medicine - Reports on important meetings and conferences - Society Bulletins of Schweizerische Medizinische Gesellschaft für Phytotherapie (SMGP) and Deutsche Gesellschaft für Naturheilkunde Bibliographic Details Complementary Medicine Research Journal Abbreviation: Complement Med Res ISSN: 2504-2092 (Print) e-ISSN: 2504-2106 (Online) DOI: 10.1159/issn.2504-2092 www.karger.com/CMR
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