Dhaliwal L K, Khera K R, Dhall G I
Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Int J Fertil. 1991 Jul-Aug;36(4):222-6.
A total of 455 infertile couples were evaluated in our infertility clinic over a period of 2 years and were followed up for 2 years for occurrence of pregnancy. Couples were thoroughly investigated to determine the etiological factor in the male and female partners. One hundred and seventy-five women (38.5%) became pregnant, 47 (28%) before the complete evaluation, 66 (38%) after total work-up, and 62 (35%) after successful treatment. When both partners were normal, 40% of the woman became pregnant, but only 24% when a defect was detected in both. Half the women in the age group less than 25 years conceived compared to only one-fourth when age was more than 35 years. Sixty-five percent became pregnant when the duration of infertility was less than 2 years, and only 20% when duration was more than 4 years. One hundred and thirty (84.4%) had successful outcome of pregnancy, of which 58% had normal vaginal delivery. Spontaneous abortion occurred in 13% of cases; only one patient had an ectopic pregnancy. Cesarean section rate was 27%, and 11.8% were delivered by low midcavity forceps.
在两年时间里，我们的不孕不育诊所共评估了455对不孕不育夫妇，并对他们进行了为期两年的随访，以观察妊娠情况。对这些夫妇进行了全面调查，以确定男性和女性伴侣的病因。175名女性（38.5%）成功怀孕，其中47名（28%）在完成全面评估前怀孕，66名（38%）在完成全面检查后怀孕，62名（35%）在成功治疗后怀孕。当夫妻双方均正常时，40%的女性怀孕，但当双方均检测出缺陷时，只有24%的女性怀孕。年龄小于25岁的女性中有一半怀孕，而年龄超过35岁的女性中只有四分之一怀孕。不孕时间小于2年的女性中有65%怀孕，而不孕时间超过4年的女性中只有20%怀孕。130例（84.4%）妊娠结局良好，其中58%为正常阴道分娩。13%的病例发生自然流产；只有1例患者发生宫外孕。剖宫产率为27%，11.8%的产妇通过低位产钳助产分娩。
