复发性植入失败(RIF)后的妊娠率和妊娠时间--前瞻性队列随访研究。

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
Linda B P M Stevens Brentjens, Relinde J E Roumen, Luc Smits, Josien Derhaag, Andrea Romano, Ron J T van Golde, Janneke E den Hartog
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引用次数: 0

摘要

目的:本研究旨在确定复发性植入失败(RIF)患者群体的持续妊娠率、妊娠时间和胚胎移植至妊娠的时间:方法:RIF 患者经转诊至 RIF 门诊后被纳入 IVF 患者。他们在入组 1 年后收到一份调查问卷。如果数据缺失,则检查医疗档案以确定妊娠结果和受孕方法。RIF门诊能否提高怀孕几率或增加选择继续治疗的患者人数不在本研究范围之内:随访一年后,RIF试管婴儿患者(n = 79)持续妊娠的累积发生率为40.5%(95%置信区间 = 30.4-51.5%)。中位怀孕时间为 4 个月。妊娠发生率在胚胎移植达 5 次(大部分为单胚胎移植)时逐渐增加。从胚胎移植到妊娠的平均次数为 7.3 次:RIF试管婴儿患者在第5次胚胎移植前,每次移植都是持续妊娠的好机会。这一数据可用于指导患者,即使试管婴儿患者符合 RIF 标准,继续定期治疗似乎也是完全合理的:CCMO: NL66835.068.18.METC 18-040.OMON:NL-OMON24778。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pregnancy rate and time to pregnancy after recurrent implantation failure (RIF)-a prospective cohort follow-up study.

Purpose: The goal of this study was to determine ongoing pregnancy rate, time to pregnancy and embryo transfers to pregnancy within a cohort of patients with recurrent implantation failure (RIF).

Methods: IVF patients with RIF were included after referral to the RIF outpatient clinic. They received a questionnaire 1 year after inclusion. If data was missing, medical files were examined to determine pregnancy outcomes and conception methods. The ability of the RIF outpatient clinic to improve pregnancy chance or increase the number of patients who elected to continue treatment was beyond the scope of this study.

Results: The cumulative incidence of ongoing pregnancy in IVF patients with RIF (n = 79) after 1 year of follow-up was 40.5% (95% confidence interval = 30.4-51.5%). Median time to pregnancy was 4 months. Pregnancy incidence increased gradually up to 5 embryo transfers (mostly single embryo transfers). The average embryo transfers to pregnancy were 7.3 transfers.

Conclusion: In IVF patients with RIF, up until the 5th embryo transfer, each transfer represents a good opportunity for ongoing pregnancy. This data can be used to counsel patients that regular treatment continuation seems to be well justified even when IVF patients fulfil the RIF criteria.

Trial registration: CCMO: NL66835.068.18. METC 18-040. OMON: NL-OMON24778.

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CiteScore
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