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生育治疗的优先排序——排除体重指数高的女性的影响。

Prioritising for fertility treatments--the effect of excluding women with a high body mass index.

作者信息

Gillett W R, Putt T, Farquhar C M

机构信息

Department of Obstetrics and Gynaecology, University of Otago, Dunedin, New Zealand.

出版信息

BJOG. 2006 Oct;113(10):1218-21. doi: 10.1111/j.1471-0528.2006.00995.x. Epub 2006 Jul 11.

Abstract

The effect of clinical priority access criteria for access to infertility treatment was examined for women outside the body mass index (BMI) range of 18-32 kg/m2. Treatments and outcomes were analysed from 1280 cases referred from 1998 to May 2005. Sixteen percent of women had a BMI of >32 kg/m2. Overall, 38% of these women had a birth from conceiving a treatment-related pregnancy or spontaneous pregnancy, compared with 52% of women with BMI < 32 kg/m2. Weight loss allowed women in the BMI group >32<35 kg/m2 to access treatment, but women in higher BMI groups were less successful.

摘要

对体重指数(BMI)不在18 - 32 kg/m²范围内的女性,研究了临床优先准入标准对获得不孕症治疗的影响。分析了1998年至2005年5月转诊的1280例病例的治疗情况和结果。16%的女性BMI>32 kg/m²。总体而言,这些女性中有38%通过与治疗相关的怀孕或自然怀孕分娩,而BMI<32 kg/m²的女性这一比例为52%。体重减轻使BMI在32 - 35 kg/m²组的女性能够获得治疗,但BMI更高组的女性成功率较低。

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