Perinatal morbidity after in vitro fertilization is lower with frozen embryo transfer.

Perinatal morbidity after in vitro fertilization is lower with frozen embryo transfer.
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DOI:
10.1016/j.fertnstert.2010.05.049
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发表时间:
2011-03
影响因子:
6.7
通讯作者:
Barnhart KT
Barnhart KT
中科院分区:
医学2区
文献类型:
--
作者:
Kansal Kalra S;Ratcliffe SJ;Milman L;Gracia CR;Coutifaris C;Barnhart KT

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To study the association of perinatal outcome and IVF transfer type in a group of infertility patients with standardized treatment and similar prognosis. Retrospective cohort study. University-based infertility center, January 1998 to June 2006. Two hundred eighteen IVF pregnancies after fresh embryo transfer (ET); 122 IVF pregnancies after frozen ET. Assessment of perinatal outcome in fresh versus frozen ET pregnancies. Pregnancy outcomes after fresh versus frozen embryo transfer (ET). Primary outcome was a composite of three events: preterm delivery, intrauterine growth restriction, or low birth weight. Secondary outcomes were subtypes of pregnancy loss. Associations were assessed using multivariate logistic regression. The final sample included 340 pregnancies: 218 fresh and 122 frozen ETs. Singleton pregnancy was less likely after transfer of fresh embryos (odds ratio [OR] 0.39, 95% confidence interval [CI] 0.23–0.67), and pregnancies after fresh ET were more likely to end in first-trimester loss (OR 1.82, 95% CI 1.05–3.13). Composite adverse outcome after transfer of fresh (44.0%) versus frozen (32.6%) embryos was higher (OR 1.52, 95% CI 0.90–2.56) and was strongly associated with twin gestation (OR 23.82, 95% CI 11.16–50.82). Perinatal morbidity is higher in IVF pregnancies conceived after a fresh ET compared with a frozen ET. Although some differences are related to conception with twin gestations, these findings suggest that adverse outcomes may be related to differences in IVF procedures.
DOI: 10.1097/01.aog.0000114989.84822.51
发表时间: 2004-03-01
影响因子: 7.2
作者:
Jackson, RA;Gibson, KA;Croughan, MS
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DOI: 10.1093/humrep/16.3.504
发表时间: 2001-03-01
期刊: HUMAN REPRODUCTION
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发表时间: 1997-12-01
期刊: CONTROLLED CLINICAL TRIALS
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DOI: 10.1016/j.fertnstert.2006.04.038
发表时间: 2006-12-01
影响因子: 6.7
作者:
Chung, Karine;Coutifaris, Christos;Barnhart, Kurt T.
通讯作者: Barnhart, Kurt T.
DOI: 10.1056/nejmoa010806
发表时间: 2002-03-07
影响因子: 158.5
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