Factors related to early spontaneous miscarriage during IVF/ICSI treatment: an analysis of 21,485 clinical pregnancies

Factors related to early spontaneous miscarriage during IVF/ICSI treatment: an analysis of 21,485 clinical pregnancies
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IVF/ICSI 治疗期间早期自然流产的相关因素:21,485 例临床妊娠的分析

DOI:
10.1016/j.rbmo.2019.11.001
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发表时间:
2020-02-01
影响因子:
4
通讯作者:
Sun, Ying-Pu
Sun, Ying-Pu
中科院分区:
医学2区
文献类型:
--
作者:
Bu, Zhiqin;Hu, Linli;Sun, Ying-Pu

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研究问题:哪些因素与体外受精临床妊娠中的早期自然流产有关?设计:分析中总共纳入了 21,485 例临床妊娠。首先,根据女性年龄、体重指数(BMI)、既往流产次数、不孕症诊断以及类型和周期特征,比较不同群体的早期自然流产率。然后,将多囊卵巢综合征(PCOS)、子宫畸形和子宫内膜异位症患者的自然流产率与单纯男性因素不孕症患者的自然流产率进行比较。最后采用logistic回归分析影响早期自然流产率的因素。结果:21485个周期中,2703个周期(12.58%)出现早期自然流产。在患者中
Research question: Which factors are related to early spontaneous miscarriage in IVF-conceived clinical pregnancies?Design: A total of 21,485 clinical pregnancies were included in the analysis. First, early spontaneous miscarriage rates were compared among different groups according to female age, body mass index (BMI), number of previous miscarriages, infertility diagnosis and type and cycle characteristics. Then, the spontaneous miscarriage rate in patients with polycystic ovary syndrome (PCOS), uterus malformation and endometriosis was compared with that in patients with male factor infertility alone. Last, logistic regression was used to analyse factors affecting the early spontaneous miscarriage rate.Results: Of the 21,485 cycles, 2703 cycles (12.58%) resulted in early spontaneous miscarriage. In patients