在试管婴儿期间使用抗生素:在辅助生殖中被忽视的变量?
Tatjana Blagojevic1, Barbara Lawrenz2, Erkan Kalafat1
1ART Fertility Clinic Abu Dhabi, United Arab Emirates.
概括
在卵细胞采集过程中使用抗生素不会影响随后冷胚胎移植的活产率. 这项研究发现,接受抗生素治疗的妇女与不接受抗生素治疗的妇女的妊娠结果没有显著差异.
科学领域:
- 生殖内分泌学和不孕症
- 产科和妇科
- 临床药理学
背景情况:
- 在辅助生殖技术 (ART) 过程中,有时会使用抗生素预防.
- 术后抗生素对随后的冷胚胎移植 (FET) 结果的影响,特别是正在进行的怀孕和活产率,尚不清楚.
研究的目的:
- 研究OPU期间一次性静脉注射周围抗生素对一次性胚胎冷移植 (seFET) 后持续怀孕和活产率的影响.
主要方法:
- 在676名接受OPU的妇女中进行了回顾性队列研究,随后在20-35天内进行了seFET.
- 患者被分为两组:在OPU期间接受一次静脉注射周围抗生素的患者和未接受治疗的患者.
- 各组的人口统计数据,OPU-FET间隔和临床结果进行了比较.
主要成果:
- 在抗生素和无抗生素组之间没有观察到持续妊娠或活产率的显著差异.
- 虽然胚胎质量显著影响了妊娠结果,但在OPU期间的术后抗生素使用没有影响.
- AB组的BMI和AMH水平较高,但这些并没有影响主要结果.
结论:
- 在OPU期间一次静脉注射周围抗生素不会影响怀孕,正在进行的怀孕或活产率.
- 胚胎质量是成功妊娠的关键因素.
- 目前的证据表明,在OPU期间进行常规抗生素预防可能不必提高FET成功率.
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