身体质量指数和晚龄母亲对体外受精结果的影响
Hanne Lise Chaves1, Mateus José Schmitz1, Camila Dutra de Souza Francisquini2
1Positivo University - Curitiba, Paraná, Brazil.
JBRA assisted reproduction
|August 14, 2023
概括
晚年母亲年龄和高体重指数 (BMI) 影响怀孕结果. 虽然年龄显著影响老年妇女的活产率,但BMI
科学领域:
- 生殖内分泌学 生殖内分泌学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 在体外受精 (IVF)
背景情况:
- 先进的孕产妇年龄 (AMA) 和高体重指数 (BMI) 是已知的妊娠不良结果的风险因素.
- 在辅助生殖技术 (ART) 的背景下,AMA和BMI之间的相互作用需要进一步阐明.
研究的目的:
- 研究身体质量指数 (BMI) 和晚期母亲年龄 (AMA) 对体外受精 (IVF) 妇女怀孕结果的综合影响.
主要方法:
- 808个试管婴儿周期的回顾性观察研究.
- 参与者按BMI (体重不足,适当,超重,肥胖) 和年龄 (35-37,38-40,41-42,>42岁) 分类.
- 分析卵细胞产量,胚胎发育,受精和临床怀孕率.
主要成果:
- 较低的孕产妇年龄与新试管婴儿周期中更高的临床怀孕率相关 (p<0.0001).
- 超重和肥胖妇女的成熟卵细胞率较高 (p=0.015).
- 后勤回归表明,超重类别中转移的胚胎更多 (p=0.0001).
结论:
- 高BMI对临床怀孕的负面影响在35岁以下的女性中更为明显.
- 母亲年龄对活产率的影响比老年女性的BMI更大.
- 体重指数对活产概率的影响取决于母亲的年龄.
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