Ectopic pregnancy in the assisted reproduction

Conclusion & Impact:In addition, it was found that ectopic pregnancies after IVF were rather situated near the uterus compared to spontaneous ones.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

It is well known that the very first pregnancy after an IVF treatment resulted in an ectopic one. To date, a high number of publications have been published dealing with this topic. The incidence was found to be 2 to 11%. Though most of the studies could not find any risk factors, others evaluated a significant correlation between the appearance of ectopic pregnancies and small cavi uteri as well as tubal defects. The aim of our study was to compare the actual incidence and peculiarities of ectopic pregnancies, in particular heterotopic pregnancies, in IVF with the normal population. Like in previous studies the number of ectopic pregnancies was increased. This event was much rather related to tubal defects of the patient than the IVF or ICSI procedure per se. In addition, it could be demonstrated that compared to spontaneous pregnancies progesterone but not hCG is increased. Heterotopic pregnancies, which were found to be increased in ART, make exact diagnosis difficult. The percentage of heterotopic pregnancies within this ectopic pregnancies was alarming, therefore, one should consider that if an ectopic pregnancy is suspected. In addition, it was found that ectopic pregnancies after IVF were rather situated near the uterus compared to spontaneous ones.

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Cite This Article

TEWS, G., SOMMERGRUBER, M., MARIANNE, M., OMAR, S., EBNER, T. (2022). Ectopic pregnancy in the assisted reproduction. ARTEMİS, Cilt: 5 - Sayı: 1, 59–62. https://ajindex.com/articles/449496

References (9)

Steptoe PC, Edwards RG. Reimplantation of a human embryo with subsequent tubal pregnancy. Lancet 1976; 1: 880-2
Egbase PE, Al-Sharhan M, Grudzinskas JG. Influence of position and length of uterus on implantation and clinical pregnancy rates in IVF and embryo transfer treatment cycles. Hum Reprod 2000; 15: 1943-6
Dubuisson JB, Aubriot FX, Mathieu L, Foulot H, Mandelbrot L, de Joliere JB. Risk factors for ectopic pregnancy in 556 pregnancies after in-vitro-fertilisation: implication for preventive management. Fertil Steril 1991; 56: 686-90
Marcus SF, Brinsden PR. Analysis of the incidence and risk factors associated with ectopic pegnancy following in-vitro fertilisation and embryo transfer. Hum Reprod 1995; 10: 199-203
Jarchow J. Ectopic pregnancy with special reference to abdominal pregnancy. Am J Surg 1949; 77: 273-313
Elser H, Leis D, Eiermann W, Albrich W, Lindenauer N, Spindler E. Anamnesis and findings in 501 women refered to hospital with suspected diagnosis of ectopic pregnancy. Geburtshilfe Frauenheilkd 1981; 41: 556-61
Ludwig M, Riethmuller-Winzen H, Felberbaum RE, Oliviennes F, Albano C, Devroey P et al. Health of 227 children born after controlled ovarian stimulation for in vitro fertilisation using the luteinizing hormon-releasing hormone antagonist cetrorelix. Fertil Steril 2001; 75: 18-22
Westergaard HB, Johansen AM, Erb K, Andersen AN. Danish National IVF Register 1994 and 1995. Treatment, pregnancy outcome and complications during pregnancy. Acta Obstet Gynecol Scand 2000; 79: 384-9
Moosburger D, Tews G. Severe hyperstimulation syndrom and combined intrauterine and tubal pregnancy after in-vitro fertilisation and embryo transfer. Hum Reprod 1996; 11: 68-9 10. Giuliani A, Panzitt T, Schoell W, Urdl W. Severe bleeding from the peritoneal implants of trophoblastic tissue after laparoscopic salpingostomy for ectopic pregnancy. Fertil Steril 1998;70:369-70,