摘要
目的研究体外受精、胚胎移植(IVF-ET)术后晚孕患者(≥28周)的妊娠分娩结局。方法回顾分析2010年1月—2012年12月期间于安徽省立医院分娩的IVF-ET术后妊娠患者198例,其中单胎妊娠121例,双胎妊娠77例。比较两组的妊娠期并发症、分娩方式及产后出血。结果 IVF-ET双胎妊娠的早产率(72.7%)显著高于单胎妊娠(23.1%)(P<0.01),单、双胎妊娠重度子痫前期、前置胎盘、糖耐量(OGTT)异常、妊娠期肝内胆汁淤积综合征(ICP)重度、胎膜早破及产后出血发生率无明显差异(P>0.05)。198例中双胎77例(38.9%)、胎膜早破34例(17.2%),早产84例(42.4%)、产后出血17例(8.5%)。结论 IVF-ET晚孕患者胎膜早破、早产、产后出血均较自然受孕者明显升高,应加强孕期保健、及早发现、治疗妊娠期并发症,以改善妊娠结局。
Objective To evaluate the perinatal outcome of pregnancy after in vitro fertilization and embtryo transfer （IVF-ET）. Methods Perinatal outcome of 198 pregnancies after IVF-ET was analyzed between Januat7 2010 to December 2012. Results IVF-ET twin pregnancy preterm birth rate （72.7%） was significantly higher than that of singleton pregnancies （23.1%） （P 〈0.01）. Single,twin pregnancy with severe pre-eclampsia, placenta previa,impaired glucose tolerance （OGTT） abnormalities,intrahepatic cholestasis syn- drome （ICP） with severe,premature rupture of membranes arid the incidence of postpartum hemorrhage had no significant differences （P 〉 0.05）. Of 198 cases of patients,there were twin 77 cases （38.9%）, premature rupture of membranes 34 cases （ 17.2% ） ,84 cases of preterm birth （42.4%） , arid postpartum hemorrhage 17 cases （8.5%）. Condusions The occurrences of preterm rupture of lnelnbrane,preterm deliver7 and postpartum hemorrhage were more in pregnancy after IVF-ET than in normal gestation. Paying attention to perinatal care and treating the complication in time are beneficial to pregnancy outcome.
出处
《安徽医药》
CAS
2014年第1期83-86,共4页
Anhui Medical and Pharmaceutical Journal
关键词
体外受精
胚胎移植
围生期结局
产后出血
fertilization in vitro
embryo transfer
pregnancy outcome
postpartum hemorrhage
