妊娠载体怀孕的产科特征和结果:系统性审查和元分析
Shinya Matsuzaki1,2, Aaron D Masjedi3, Satoko Matsuzaki4
1Department of Gynecology, Osaka International Cancer Institute, Osaka, Japan.
JAMA network open
|July 23, 2024
概括
妊娠载体 (GC) 怀孕的结果略好于其他辅助生殖技术 (ART) 怀孕,但风险高于一般怀孕. ART程序和多个怀孕可能会影响这些围产期的结果.
科学领域:
- 生殖医学 生殖医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 围产期结局的结果
背景情况:
- 辅助生殖技术 (ART) 增加了妊娠载体 (GC) 怀孕.
- 由于相关风险,GC怀孕的围产期结局需要进一步调查.
研究的目的:
- 评估GC怀孕中母亲的特征和产科结果.
- 为了比较GC怀孕的结果与非GCART和一般怀孕的结果.
主要方法:
- 在PubMed,科学网,Scopus和科克兰图书馆数据库中进行系统搜索.
- 包括六项研究 (2011-2023年) 涉及28300个GC和1270662个非GC怀孕.
- 使用固定效应和随机效应模型的元分析.
主要成果:
- GC怀孕更有可能通过冷胚胎移植和多胎妊娠来怀孕.
- 与非GCART怀孕相比,GC怀孕的剖腹产率较低,但类似的高血压障碍,早产和低出生体重.
- 与一般妊娠相比,GC怀孕的高血压障碍的几率更高.
结论:
- GC怀孕的结果各不相同:与非GCART怀孕相比,略有改善,但风险高于一般怀孕.
- 人工智能治疗程序和多胎妊娠是GC怀孕中不良周产期结果的潜在贡献者.
- 需要进一步的研究,以充分了解和减轻GC怀孕的风险.
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