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Effect of previous wedge resection for interstitial pregnancy on pregnancy and neonatal outcomes following frozen-thawed embryo transfer (FET) cycles of IVF/ICSI: a retrospective study

Reproductive biology and endocrinology, 2022-02, Vol.20 (1), p.23-23, Article 23 [Peer Reviewed Journal]

2022. The Author(s). ;COPYRIGHT 2022 BioMed Central Ltd. ;2022. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2022 ;ISSN: 1477-7827 ;EISSN: 1477-7827 ;DOI: 10.1186/s12958-022-00896-4 ;PMID: 35105356

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Title:
Effect of previous wedge resection for interstitial pregnancy on pregnancy and neonatal outcomes following frozen-thawed embryo transfer (FET) cycles of IVF/ICSI: a retrospective study
Author: Tang, Shengluan ; Du, Tong ; Huang, Jialyu ; Ye, Hongjuan ; Zhao, Ming ; Lin, Jiaying ; Kuang, Yanping
Subjects: Adult ; Birth Rate ; Birth weight ; Case-Control Studies ; Cesarean section ; China - epidemiology ; Comparative analysis ; Ectopic pregnancy ; Embryo ; Embryo transfer ; Embryo Transfer - methods ; Embryo Transfer - statistics & numerical data ; Embryonic development ; Embryos ; Female ; Fertilization in Vitro - statistics & numerical data ; Frozen embryo transfer ; Gender ; Gestational age ; Hormone replacement therapy ; Humans ; Infant, Newborn ; Infants (Newborn) ; Infertility ; Infertility - epidemiology ; Infertility - therapy ; Interstitial pregnancy ; Laparoscopy ; Laparotomy ; Male ; Medical research ; Medicine, Experimental ; Menstruation ; Miscarriage ; Multiple births ; Neonatal outcomes ; Neonates ; Obstetric Surgical Procedures - methods ; Obstetric Surgical Procedures - rehabilitation ; Obstetric Surgical Procedures - statistics & numerical data ; Pregnancy ; Pregnancy complications ; Pregnancy Outcome - epidemiology ; Pregnancy outcomes ; Pregnancy Rate ; Pregnancy, Ectopic ; Pregnancy, Interstitial - epidemiology ; Pregnancy, Interstitial - rehabilitation ; Pregnancy, Interstitial - surgery ; Pregnant women ; Reproductive technologies ; Retrospective Studies ; Rupture ; Sperm Injections, Intracytoplasmic - statistics & numerical data ; Standard deviation ; Statistical analysis ; Surgery ; Taxation ; Uterus ; Wedge resection ; Womens health
Is Part Of: Reproductive biology and endocrinology, 2022-02, Vol.20 (1), p.23-23, Article 23
Description: The present study aimed to evaluate pregnancy and neonatal outcomes in women, with a previous history of wedge resection for interstitial pregnancy, in frozen-thawed embryo transfer (FET) cycles of IVF/ICSI. The present study involved a retrospective case-control assessment of 75 cases and 375 control subjects over 6 years in a single center. To compare pregnancy and neonatal outcomes between cases, treated using wedge resection, and controls without any previous history of ectopic pregnancy, propensity score matching (1:5) was utilized. The study also compared subgroups in the case group. Women with previous wedge resection exhibited higher rates of ectopic pregnancy and uterine rupture rate as compared to control subjects (9.1% vs 1.3%, P = 0.025 and 4.5% vs 0%, P = 0.035, respectively). No statistically significant differences were recorded between the two cohorts with regard to clinical pregnancy rate, live birth rate, and neonatal outcomes. For pregnancy type subgroup analysis, Z-score and rates of large for gestational age were recorded to be significantly lower in twin pregnancy subgroup when compared with singleton pregnancy subgroup (0.10 (- 0.59, 0.25) vs 0.50 (- 0.97, 1.39), P = 0.005; 4.5% vs 26.1%, P = 0.047, respectively). The results of the present study indicated that previous wedge resection correlated to a higher risk of ectopic pregnancy and uterine rupture. However, it might not be related to an increased risk of adverse neonatal outcomes. The study recommended cesarean section in these patients. Further studies are required to verify the validity of current recommendations.
Publisher: England: BioMed Central Ltd
Language: English
Identifier: ISSN: 1477-7827
EISSN: 1477-7827
DOI: 10.1186/s12958-022-00896-4
PMID: 35105356
Source: SpringerOpen
Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
PubMed Central
Directory of Open Access Journals
ROAD: Directory of Open Access Scholarly Resources
ProQuest Central

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Effect of previous wedge resection for interstitial pregnancy on pregnancy and neonatal outcomes following frozen-thawed embryo transfer (FET) cycles of IVF/ICSI: a retrospective study

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