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Ultrasound-guided embryo transfer: a meta-analysis of randomized controlled trials
Hassan N Sallam1, Sameh S Sadek
1Department of Obstetrics and Gynaecology, Alexandria University, Alexandria, Egypt. hnsallam@link.net
Objective:
To conduct a meta-analysis of randomized controlled studies to evaluate abdominal ultrasound-guided embryo transfer compared to the clinical touch method.
Design:
Meta-analysis.
Setting:
Four studies performed in academic research centers in Barcelona, Vizcaya, Hong Kong, and Madrid.
Patient(S):
A total of 2,051 patients: 1,024 received ultrasound-guided embryo transfers and 1,027 received clinical touch method transfers.
Intervention(S):
Fourteen studies were retrieved from the literature, but only four of them fitted our selection criteria. The meta-analysis was conducted using the RevMan software with the Peto-modified Mantel-Haenszel method and the fixed effect model.
Main Outcome Measure(S):
The primary outcome measures were the clinical pregnancy and ongoing pregnancy rates. The secondary outcome measures were the incidences of ectopic pregnancies, miscarriage rate, multiple pregnancies, and difficult transfers.
Result(S):
Compared to the clinical touch method, abdominal ultrasound-guided transfer significantly increased the clinical pregnancy rate and the ongoing pregnancy rate. There was no effect on the incidence of ectopic pregnancy, multiple pregnancy, or miscarriage rate. CONCLSUION(S): Ultrasound-guided embryo transfer increases the clinical pregnancy and ongoing pregnancy rates significantly compared to the clinical touch method.
