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COVID-19 疫苗接种状况、疫苗类型和接种间隔对不孕夫妇 IVF 妊娠结局的影响。

Effects of COVID-19 vaccination status, vaccine type, and vaccination interval on IVF pregnancy outcomes in infertile couples.

机构信息

Center of Reproductive Medicine, Shengjing Hospital of China Medical University, No. 39 Huaxiang Road, Tiexi District, Shenyang, 110072, Liaoning Province, China.

Key Laboratory of Reproductive Dysfunction Diseases and Fertility Remodelling of Liaoning Province, Shenyang, 110072, China.

出版信息

J Assist Reprod Genet. 2022 Aug;39(8):1849-1859. doi: 10.1007/s10815-022-02543-8. Epub 2022 Jun 27.

Abstract

PURPOSE

This study aimed to explore whether the coronavirus disease (COVID-19) vaccination of both partners in infertile couples, different types of COVID-19 vaccines, and the interval between complete vaccination and oocyte retrieval or embryo transfer (ET) affect the quality of embryos and pregnancy rates in in vitro fertilization (IVF).

METHODS

This was a prospective cohort study, comprising 735 infertile couples conducted between December 6, 2021, and March 31, 2022, in a single university hospital-based IVF center. The patients were divided into different groups according to the vaccination status of both partners in infertile couples, type of vaccine, and interval between complete vaccination and IVF treatment. The embryo quality and pregnancy rates were compared among different groups.

RESULTS

The results showed that embryo quality and pregnancy rates had no significant differences among different groups. The multivariate regression model showed that the vaccination status of both infertile couples, types of vaccines, and intervals had no significant effects on the clinical pregnancy rate.

CONCLUSIONS

The vaccination status of both partners in infertile couples, different types of vaccines, and time intervals have no effect on embryo quality and pregnancy rates in IVF. This is the first study to compare the vaccination status of both partners in infertile couples and the impact of different vaccine types on pregnancy rates and embryo quality in detail. Our findings provide evidence of vaccine safety for infertile couples wishing to undergo IVF treatment. This evidence is crucial for decision-making by clinicians and policymakers involved in IVF cycles.

摘要

目的

本研究旨在探讨不孕夫妇双方接种新冠疫苗、不同类型的新冠疫苗以及完全接种疫苗与卵母细胞采集或胚胎移植(ET)之间的间隔时间是否会影响体外受精(IVF)中胚胎质量和妊娠率。

方法

这是一项前瞻性队列研究,纳入了 2021 年 12 月 6 日至 2022 年 3 月 31 日期间在一家大学附属医院 IVF 中心进行的 735 对不孕夫妇。根据不孕夫妇双方的疫苗接种状况、疫苗类型以及完全接种疫苗与 IVF 治疗之间的间隔时间,将患者分为不同组。比较不同组之间的胚胎质量和妊娠率。

结果

结果显示,不同组之间的胚胎质量和妊娠率无显著差异。多变量回归模型显示,不孕夫妇双方的疫苗接种状况、疫苗类型和间隔时间对临床妊娠率均无显著影响。

结论

不孕夫妇双方的疫苗接种状况、不同类型的疫苗以及时间间隔对 IVF 中的胚胎质量和妊娠率没有影响。这是第一项详细比较不孕夫妇双方的疫苗接种状况以及不同疫苗类型对妊娠率和胚胎质量影响的研究。我们的研究结果为希望接受 IVF 治疗的不孕夫妇提供了疫苗安全性的证据。这一证据对涉及 IVF 周期的临床医生和政策制定者的决策具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f25/9428080/d71fbbe23ce0/10815_2022_2543_Fig1_HTML.jpg

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