在体外受精中风险概况 孕妇发育胎盘的妊娠 Accreta 频谱
Anna M Modest1, Brett D Einerson2, Albaro J Nieto3
1Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
American journal of perinatology
|January 30, 2024
概括
在体外受精 (IVF) 经过胎盘增殖谱 (PAS) 的孕妇中,胎盘增殖谱的产前怀疑率较低. 这可能是由于先前剖腹产的数量较少,IVF组PAS的严重程度较小.
科学领域:
- 生殖医学 生殖医学
- 产妇胎儿医学 产妇胎儿医学
- 产科 产科 产科 产科 产科
背景情况:
- 胎盘增生谱 (PAS) 是一个重要的产科并发症.
- 体外受精 (IVF) 越来越多地用于怀孕.
- 了解试管婴儿怀孕中PAS的风险因素和检测率至关重要.
研究的目的:
- 为了比较IVF和非IVF怀孕之间的PAS产前怀疑率.
- 为了评估在IVF中PAS的风险因素与非IVF患者.
- 为了评估PAS的严重程度与受孕方法相关.
主要方法:
- 国际多中心回顾性研究 (1998-2021).
- 包括病理确认的PAS患者.
- 使用统计测试,将试管婴儿怀孕与非试管婴儿怀孕进行比较.
主要成果:
- 在IVF组 (40.9%) 与非IVF组 (60.5%) 相比,在IVF组中怀疑产前PAS的发生较少.
- 试管婴儿患者在剖腹产前的分娩率较低,PAS的严重程度较小.
- 在试管婴儿和非试管婴儿怀孕中,PAS的风险概况不同.
结论:
- 在试管婴儿怀孕中,产前怀疑PAS的可能性较低.
- 这种差异可能归因于先前剖腹产和胎盘前期的发病率较低,并且在IVF患者中PAS的严重程度较低.
- 在通过试管婴儿怀孕的怀孕中,PAS的风险概况是不同的.
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