技术或母性因素对辅助受精后产周期结果的影响:基于人口的队列研究
Liv Bente Romundstad1, Pål R Romundstad, Arne Sunde
1IVF Unit, Department of Obstetrics and Gynaecology, St Olavs University Hospital, Trondheim, Norway.
Lancet (London, England)
|August 5, 2008
概括
与同一个母亲内自发受孕相比,辅助受精单独分娩没有任何不良结果. 不孕不育因素,而不是生殖技术,可能解释了之前观察到的不良结果.
科学领域:
- 生殖医学 生殖医学
- 围产期结果 围产期结果
- 不孕症研究 不孕症研究
背景情况:
- 辅助受精单独分娩与不良结果有关,但混因素可能会影响这些发现.
- 这项研究旨在通过比较同一妇女怀孕中的结果来分离辅助受精的影响.
研究的目的:
- 在同一个妇女中,比较自发和辅助受精的单独分娩之间的妊娠结果.
- 确定辅助受精本身或潜在的不孕症是否有助于产生不良的围产期结果.
主要方法:
- 基于人口的队列研究,对2546名挪威女性进行自发受精和辅助受精单独怀孕.
- 出生体重,妊娠年龄和妊娠年龄相对较小的风险,早产和围产死亡的比较.
- 兄弟姐妹关系比较被用来控制遗传和环境因素.
主要成果:
- 在一般人群的比较中,辅助受精与降低出生体重,更短的怀孕和增加妊娠年龄小的风险和围产死亡有关.
- 然而,在兄弟姐妹关系的比较中,出生体重和妊娠年龄的差异很小.
- 对于怀孕年龄小的风险和围产期死亡率在自发受精和辅助受精之间没有显著差异,在兄弟姐妹的比较中.
结论:
- 以前与辅助受精相关的不良周产期结果在比较自发怀孕与辅助受精怀孕的兄弟怀孕时并不明显.
- 这些发现表明,导致不孕不育的因素,而不是辅助受精技术,可能是导致一般人群中观察到的不良结果的原因.
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