剖宫产史对体外受精-胚胎移植治疗结局的影响

doi:10.3969/j.issn.2095-9400.2021.07.010

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Abstract Objective: To investigate the effect of prior cesarean delivery (CD) on the clinical outcomes of in vitro fertilization-embryo transfer (IVF-ET). Methods: Clinical data of women who underwent IVF-ET in the assisted reproduction technology center of the Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University from January 2019 to December 2019 were retrospectively analyzed. According to their delivery history, patients with a history of live birth by CD were assigned to the CD group (n=292), and those with only vaginal delivery (VD) were categorized into the VD group (n=311). The embryo implantation rate and treatment outcomes were compared between the two groups. Results: The embryo implantation rate of VD group was significantly higher than VD group (P<0.05). However, there was no statistical difference in miscarriage rate, twinning rate and incidence of ectopic pregnancy between the two groups, neither in indexes of premature, stillbirth, birth weight, birth defects, placenta previa and postpartum hemorrhage. Conclusion: A prior CD does affect the embryo implantation rate, but it is not associated with increased risk of miscarriage and other adverse treatment outcomes in IVF patients.

Key words： prior cesarean in vitro fertilization embryo implantation rate miscarriage rate pregnancy outcome

Received: 14 January 2021

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	CHEN Huihui
	YE Jinbin
	LU Xiaosheng
	XI Haitao
	ZHAO Junzhao

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https://xb.wmu.edu.cn/EN/10.3969/j.issn.2095-9400.2021.07.010 OR https://xb.wmu.edu.cn/EN/Y2021/V51/I7/574

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