Association between previous surgical termination of pregnancy and pregnancy outcomes in frozen-thawed embryo transfer cycles of IVF/ICSI: a retrospective cohort study
- PMID: 38503837
- PMCID: PMC10951247
- DOI: 10.1038/s41598-024-57377-4
Association between previous surgical termination of pregnancy and pregnancy outcomes in frozen-thawed embryo transfer cycles of IVF/ICSI: a retrospective cohort study
Abstract
This study aimed to evaluate the effect of previous surgical termination of pregnancy (STP) on pregnancy outcomes in women undergoing FET cycles of IVF/ICSI. Retrospective cohort study. Reproductive Center of Maternal and Child Health Care Hospital in Lianyungang city. Data were selected from all IVF/ICSI FET cycles performed between January 2014 and December 2020. A total of 761 cycles met the criteria were included in this study. The primary outcome measures were clinical pregnancy and live birth rates. Secondary outcome measures were biochemical pregnancy rate, spontaneous abortion rate, and preterm birth rate. After adjustments for a series of potential confounding factors, the previous STP was an influential factor in reducing FET cycle clinical pregnancy rate compared with women who had not previously undergone STP (OR = 0.614, 95% CI 0.413-0.911, P = 0.016). The effect of the previous STP on the live birth rate was not statistically significant. (OR = 0.745, 95% CI 0.495-1.122, P = 0.159). Also, an increase in the number of previous STPs relative to only 1-time abortion was an independent risk factor in reducing clinical pregnancy rate and live birth rate (OR = 0.399,95% CI 0.162-0.982, p = 0.046; OR = 0.32,95% CI 0.119-0.857, p = 0.023). Previous STP was an independent factor contributing to the decline in FET cycle clinical pregnancy rates.
Keywords: Endometrium; Freeze–thaw embryo transfer; Induced abortion; Induced termination of pregnancy; Infertility.
© 2024. The Author(s).
Conflict of interest statement
The authors declare no competing interests.
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References
-
- ESHRE Capri Workshop Group. ITP. Hum. Reprod.32(6), 1160–1169 (2017). 10.1093/humrep/dex071 (Erratum in: Hum Reprod. 2018 Apr 1;33(4):768).
-
- Bearak J, Popinchalk A, Ganatra B, Moller AB, Tunçalp Ö, Beavin C, Kwok L, Alkema L. Unintended pregnancy and abortion by income, region, and the legal status of abortion: Estimates from a comprehensive model for 1990–2019. Lancet Glob. Health. 2020;8(9):e1152–e1161. doi: 10.1016/S2214-109X(20)30315-6. - DOI - PubMed
-
- National Health Commission of the People’s Republic of China. China health statistics yearbook . in Chinese. Peking Union Medical College Press; 2021. p. 2021.
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