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冷冻胚胎受孕婴儿的出生特征及围产期结局

Birth characteristics and perinatal outcome of babies conceived from cryopreserved embryos.

作者信息

Wada I, Macnamee M C, Wick K, Bradfield J M, Brinsden P R

机构信息

Bourn Hall Clinic, Cambridge, UK.

出版信息

Hum Reprod. 1994 Mar;9(3):543-6. doi: 10.1093/oxfordjournals.humrep.a138542.

Abstract

The objective of this retrospective study was to compare the birth characteristics and perinatal mortality of babies conceived from the use of cryopreserved embryos with those resulting from in-vitro fertilization (IVF) and fresh embryo transfer. A total of 232 consecutive births, one pregnancy termination and a total of 283 babies in the cryopreserved group were studied. The IVF data included 763 births, three terminations and 961 babies, based on a previous analysis. There was no difference in the incidence of twin (18 versus 19%) and triplet births (2 versus 3%) in the cryopreserved and IVF groups respectively. The mean gestational age and birthweight of singleton, twin and triplet births were not significantly different between the groups. No difference was found in the perinatal mortality rates. The incidence of major congenital malformations in the cryopreserved group (1%) was significantly lower than that in the IVF group (3%; P < 0.05). It is concluded that the birth characteristics of babies conceived from cryopreserved/thawed embryos are similar to those from fresh embryos. There are fewer congenital malformations in the cryopreserved group.

摘要

这项回顾性研究的目的是比较使用冷冻胚胎受孕的婴儿与体外受精(IVF)及新鲜胚胎移植所产婴儿的出生特征和围产期死亡率。对冷冻组的232例连续分娩、1例终止妊娠及总共283名婴儿进行了研究。根据之前的分析,IVF数据包括763例分娩、3例终止妊娠及961名婴儿。冷冻组和IVF组的双胞胎出生率(分别为18%和19%)及三胞胎出生率(分别为2%和3%)无差异。两组中单胎、双胎和三胎分娩的平均孕周和出生体重无显著差异。围产期死亡率无差异。冷冻组的主要先天性畸形发生率(1%)显著低于IVF组(3%;P<0.05)。得出的结论是,冷冻/解冻胚胎受孕婴儿的出生特征与新鲜胚胎受孕婴儿相似。冷冻组的先天性畸形较少。

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