试管婴儿刺激期间COVID-19疫苗接种对周期结果的影响 - 一个回顾性队列研究
Michal Youngster1, Omer Maman2, Alon Kedem1
1IVF Unit, Department of Obstetrics and Gynecology, Shamir Medical Center, Zerifin, Israel; IVF Unit, Herzliya Medical Centre, Herzliya, Israel; Sackler School of Medicine, Tel Aviv University, Tel-Aviv, Israel.
Journal of reproductive immunology
|April 27, 2024
概括
在试管婴儿刺激期间接种COVID-19 mRNA-BNT162b2疫苗对卵细胞产量或怀孕率没有负面影响. 这一发现支持COVID-19疫苗用于生育治疗的安全性,在给药时间上提供了灵活性.
科学领域:
- 生殖医学 生殖医学
- 疫苗学 疫苗学 疫苗学
- 在体外受精过程中受精.
背景情况:
- 之前的研究表明mRNA-BNT162b2疫苗在生育治疗之前的安全性.
- 在体外受精 (IVF) 刺激阶段接种疫苗的影响仍然未被描述.
研究的目的:
- 为了评估mRNA-BNT162b2疫苗在新鲜的试管婴儿周期中对周期结果的影响.
- 为了比较在刺激期间接种疫苗的患者,在刺激之前,和未接种疫苗的患者之间的结果.
主要方法:
- 对396名接受新鲜试管婴儿周期 (2021年1月至9月) 的患者进行了回顾性队列研究.
- 三个年龄相匹配的组:在刺激期间接种了132种疫苗,在刺激之前接种了132种疫苗,未接种了132种疫苗.
- 人口统计,周期特征,卵细胞产量,临床怀孕和正在进行的怀孕率的比较.
主要成果:
- 三组之间卵细胞产量没有显著差异 (9.35对10.22对10.05;p=0.491).
- 线性回归证实疫苗接种时间对卵细胞产量没有影响 (p>0.999).
- 临床怀孕率 (30% vs. 30% vs. 28%) 和正在进行的怀孕率 (所有组的25%) 在不同组中相似. 疫苗的注射和时间不是临床怀孕后勤回归的重要因素.
结论:
- 在试管婴儿刺激期间使用mRNA-BNT162b2疫苗不会对新鲜的试管婴儿治疗结果产生不利影响.
- 结果与刺激前接种疫苗的人和未接种疫苗的人相似.
- 这项研究为生育护理中的COVID-19疫苗安全性增加了证据,允许灵活的疫苗施用时间.
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