过早分娩与辅助生殖技术之间的关联
Anna Stastna1, Eva Waldaufova1, Tomas Fait1,2,3
1Department of Demography and Geodemography, Faculty of Science, Charles University, Prague, Czechia.
概括
辅助生殖技术 (ART) 的使用与更高的早产风险有关,但像体外受精 (IVF),冷胚胎移植 (FET) 和卵细胞接收 (OoR) 等特定方法在控制母亲因素后没有显著差异.
科学领域:
- 生殖医学 生殖医学
- 周围生理学 周围生理学
- 公共卫生 公共卫生
背景情况:
- 过早分娩仍然是一个重大的全球健康问题.
- 辅助生殖技术 (ART) 的使用在全球范围内越来越多.
- 了解ART对早产风险的影响对于临床指导至关重要.
研究的目的:
- 根据受孕方法来调查早产风险差异:ART与非ART.
- 为了比较不同ART方法之间的早产风险:试管婴儿,FET和卵细胞接收 (OoR).
主要方法:
- 使用了来自捷克的匿名交付数据 (2013-2018,n=651,049).
- 使用生存分析,包括生命表和考克斯回归.
- 通过受孕方法对共变量进行控制,以分析早产风险.
主要成果:
- 与未接受ART治疗的妇女相比,接受ART治疗的妇女的早产风险更高 (1.56-2.06).
- 早产比例因ART方法而异,在卵细胞接收 (OoR) 中观察到的最高值.
结论:
- 在ART方法之间早产风险的初始差异在很大程度上是由母亲的特征来解释的.
- 在控制共变量后,在新鲜的试管婴儿,FET和OoR中没有发现早产风险的显著差异.
- 母亲因素在ART怀孕中显著影响早产风险.
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