在辅助生殖技术人口中,年龄和流产之间的关联:为期10年的队列研究
Doudou Zhao1,2, Jie Chen3, Xiayang Li3
1Translational Medicine Center, Northwest Women's and Children's Hospital, Xi'an, Shaanxi, 710061, China.
Iranian journal of public health
|October 21, 2024
概括
在辅助生殖技术 (ART) 治疗中,母亲的晚年增加了流产风险. 33岁以上的女性显示出早期流产和整体流产的风险迅速升级.
科学领域:
- 生殖医学 生殖医学
- 产科和妇科 产科和妇科
- 生物统计学 生物统计学
背景情况:
- 已知辅助生殖技术 (ART) 的成功率随着母亲的晚年而下降.
- 在ART治疗中,母亲年龄对流产风险的具体影响需要进一步研究.
研究的目的:
- 在接受ART的妇女中调查母亲年龄与早期和整体流产风险之间的联系.
- 确定潜在的与年龄相关的值,以增加ART怀孕中流产风险.
主要方法:
- 一项为期10年的队列研究分析了中国西安的14898个ART妊娠周期.
- 普森回归模型被用来评估母亲年龄对流产的影响.
- 使用曲线拟合来探索年龄和流产风险之间的值效应.
主要成果:
- 与30岁以下的女性相比,年龄较大的女性 (35-37岁和≥38岁) 的早期流产和整体流产风险明显更高.
- 观察到母亲年龄与流产风险之间存在非线性关系.
- 早期和整体流产的风险在33岁后开始迅速增加.
结论:
- 晚期母亲年龄是ART怀孕中早期和整体流产的重要风险因素.
- 确定了非线性,年龄值效应,33岁以后观察到风险增加.
- 临床注意力应集中在接受ART的老年妇女 (33岁以上) 上,因为流产风险增加.
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