在辅助生殖技术后与临床怀孕相关的因素:一个比较的跨部分研究
Tawaqualit Abimbola Ottun1, Adeniyi Abiodun Adewunmi1, Ayokunle Moses Olumodeji2
1Department of Obstetrics and Gynaecology, Lagos State University College of Medicine/Teaching Hospital, Lagos, Nigeria.
Journal of the West African College of Surgeons
|December 30, 2024
概括
非洲的辅助生殖技术 (ART) 显示,临床怀孕率为23.7%. 晚年母亲年龄和第5天胚胎移植显著提高了试管婴儿成功率.
科学领域:
- 生殖医学 生殖医学
- 不孕症治疗 不孕症治疗
- 临床胚胎学 临床胚胎学
背景情况:
- 在非洲城市,辅助生殖技术 (ART) 中心的数量正在增加.
- 在尼日利亚拉各斯的一家公立医院进行了对ART结果的10年审查.
- 该研究旨在确定怀孕率,并确定影响临床怀孕的因素.
研究的目的:
- 评估体外受精 (IVF) 的临床怀孕率.
- 为了确定成功的试管婴儿结果的预测因素.
- 了解影响非洲背景下辅助生殖成功的因素.
主要方法:
- 在10年内对604名接受试管婴儿/ICSI治疗的妇女进行了回顾性,分析性,横截面研究.
- 从拉各斯州立大学教学医院生育医学研究所的医疗记录中提取的数据.
- 描述性和推断性统计,包括回归分析,用于分析临床怀孕的预测因素.
主要成果:
- 总体临床怀孕率为23.7%.
- 35岁及以上的女性怀孕的几率更高 (OR=2.9).
- 与第3天 (OR=0.77) 相比,第5天的胚胎移植显示出更好的怀孕几率.
结论:
- 试管婴儿的结果受到多种因素的影响.
- 母亲年龄和胚胎发育阶段是成功的重要预测因素.
- 需要进一步的研究,以优化非洲的辅助生殖成功率.
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