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胚胎移植后血清β-人绒毛膜促性腺激素水平以及随后的流产、子痫前期和胎儿生长受限情况。

Levels of serum β-human chorionic gonadotropin after embryo transfer and subsequent miscarriage, pre-eclampsia, and intrauterine growth restriction.

作者信息

Kabodmehri Roya, Ghanami Gashti Nasrin, Zahiri Sorouri Ziba, Sharami Seyedeh Hajar, Milani Forozan, Hasanpour Marziyeh, Eslami-Kenarsari Habib, Rafiei Sorouri Zahra

机构信息

Department of Obstetrics and Gynecology, Reproductive Health Research Center, Al-Zahra Hospital, School of Medicine Guilan University of Medical Sciences Rasht Iran.

Mehr Fertility Research Center Guilan University of Medical Sciences Rasht Iran.

出版信息

Health Sci Rep. 2024 Apr 10;7(4):e2015. doi: 10.1002/hsr2.2015. eCollection 2024 Apr.

DOI:10.1002/hsr2.2015
PMID:38665152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11043496/
Abstract

BACKGROUND

This study aimed to examine maternal serum concentration of β-human chorionic gonadotropin (β-hCG) on Day 16 after embryo transfer and risk of miscarriage, pre-eclampsia, and intrauterine growth restriction (IUGR).

METHODS

In this study, we evaluated 125 pregnancies following in vitro fertilization (IVF). β-hCG concentrations were measured on the morning of Day 16 after embryo transfer. Baseline characteristics of the study participants were also recorded.

RESULTS

Concentrations of β-hCG on Day 16 after embryo transfer were inversely associated with the higher risk of miscarriage ( < 0.001), but did not with pre-eclampsia and IUGR ( > 0.05). Spearman's correlation coefficient showed a reverse and significant association between β-hCG and higher risk of miscarriage ( = 0.531 and < 0.001). There was a significant association between frozen embryo transfer and the risk of IUGR and pre-eclampsia ( = 0.005 and  = 0.023, respectively).

CONCLUSIONS

Maternal serum concentrations of β-hCG on Day 16 after IVF/embryo transfer were associated with the higher risk of miscarriage, but not pre-eclampsia and IUGR.

摘要

背景

本研究旨在检测胚胎移植后第16天母体血清β-人绒毛膜促性腺激素(β-hCG)浓度以及流产、子痫前期和胎儿生长受限(IUGR)的风险。

方法

在本研究中,我们评估了125例体外受精(IVF)后的妊娠情况。在胚胎移植后第16天早晨测量β-hCG浓度。还记录了研究参与者的基线特征。

结果

胚胎移植后第16天的β-hCG浓度与流产风险较高呈负相关(<0.001),但与子痫前期和胎儿生长受限无关(>0.05)。Spearman相关系数显示β-hCG与流产风险较高呈反向且显著相关(=0.531,<0.001)。冷冻胚胎移植与胎儿生长受限和子痫前期风险之间存在显著关联(分别为=0.005和=0.023)。

结论

IVF/胚胎移植后第16天母体血清β-hCG浓度与流产风险较高相关,但与子痫前期和胎儿生长受限无关。

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Age-specific effect of fresh versus frozen embryo transfer on fetal anomalies or intrauterine growth restriction rate.新鲜胚胎移植与冷冻胚胎移植对胎儿畸形或宫内生长受限发生率的年龄特异性影响。
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Fetal Growth Restriction.胎儿生长受限
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Frozen-thawed embryo transfer: the potential importance of the corpus luteum in preventing obstetrical complications.冻融胚胎移植:黄体在预防产科并发症方面的潜在重要性。
Fertil Steril. 2020 Feb;113(2):252-257. doi: 10.1016/j.fertnstert.2019.12.007.
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Human Chorionic Gonadotropin-Mediated Immune Responses That Facilitate Embryo Implantation and Placentation.人绒毛膜促性腺激素介导的免疫反应促进胚胎着床和胎盘形成。
Front Immunol. 2019 Dec 10;10:2896. doi: 10.3389/fimmu.2019.02896. eCollection 2019.
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Human chorionic gonadotropin and risk of pre-eclampsia: prospective population-based cohort study.人绒毛膜促性腺激素与子痫前期风险:前瞻性基于人群的队列研究。
Ultrasound Obstet Gynecol. 2019 Oct;54(4):477-483. doi: 10.1002/uog.20256.
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Fresh versus elective frozen embryo transfer in IVF/ICSI cycles: a systematic review and meta-analysis of reproductive outcomes.新鲜胚胎与选择性冻融胚胎移植在体外受精/卵胞浆内单精子注射周期中的比较:生殖结局的系统评价和荟萃分析。
Hum Reprod Update. 2019 Jan 1;25(1):2-14. doi: 10.1093/humupd/dmy033.
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