在体外受精 (IVF) 双胞胎中常规围的有效性
Meena Samant1, Divya Suman2,1, Ummul Hasanat Tasneem3,1
1Obstetrics and Gynecology, Kurji Holy Family Hospital, Patna, IND.
Cureus
|August 26, 2024
概括
常规的阴道穿器并不能防止通过体外受精 (IVF) 怀孕的双胞胎怀孕的早产,子宫的长度正常. 这一发现表明,目前的做法可能对这个特定的高风险群体不有效.
科学领域:
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 生殖内分泌学 生殖内分泌学
- 产科 产科 产科 产科 产科
背景情况:
- 由于辅助生殖技术,双胞胎怀孕在全球范围内正在增加.
- 在体外受精 (IVF) 双胞胎面临着更高的早产风险.
- 宫扩张是一种常见的并发症,导致双胞胎怀孕的早产.
研究的目的:
- 为了评估在双胞胎试管婴儿怀孕中常规的阴道透过 cerclage 的有效性,正常的宫长度.
- 评估常规围对这一特定人群的孕产妇和胎儿结局的影响.
- 为了解决对IVF双胞胎缺乏关于常规宫 cerclage 的研究.
主要方法:
- 从2016年1月到2019年12月进行了一项回顾性病例控制研究.
- 包括IVF双胞胎怀孕与正常的子宫长度;病例有 cerclage,对照没有.
- 排除了因病史,超声波指示,子宫异常或单双胞胎的结合;每组15名参与者.
主要成果:
- 在病例和对照之间,在分娩时的妊娠年龄或出生体重之间没有统计学上显著的差异.
- 产后的妊娠年龄为<28周 (6.66%),28-32周 (13%),和32-37周 (86%).
- 在试管婴儿双胞胎怀孕中,母亲的平均年龄更高.
结论:
- 常规的阴道穿器在双胞胎IVF怀孕中预防早产是无效的,子宫的长度正常.
- 试管婴儿双胞胎怀孕通常与母亲的晚年和出生体重较低有关.
- 可能需要进一步的研究,以探索优化试管婴儿双胞胎怀孕结果的替代策略.
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