Factors predicting clinical pregnancy rate of in vitro fertilization-embryo transfer (a STROBE-compliant article)

The aim of this study was to investigate the factors predicting clinical pregnancy rate of in vitro fertilization-embryo transfer (IVF-ET).The data of 9960 patients receiving IVF-ET fresh cycle at our Reproductive Center from January 2009 to December 2017 were first divided into pregnant group and non-pregnant group to find the clinical pregnancy rate-related factors. According to the serum HCG levels at 36 hours and 12 hours after HCG trigger, all patients were divided into 4 groups including <50 mIU/ml, ≥50 and <100 mIU/ml, ≥100 and <200 mIU/ml, and ≥200 mIU/ml groups to know whether the HCG levels at 36 hours and 12 hours affect the pregnancy rate. According to the serum HCG ratio at 36 hours to 12 hours (36 h/12 h) after HCG trigger, all patients were divided into three groups including <0.88, 0.88-1.06 and >1.06 groups to observe whether the serum HCG ratio (36 h/12 h) affects the clinical pregnancy rate. According to different assisted pregnancy modes, all patients were divided into 3 groups including IVF, ICSI, and IVF/ICSI groups to observe whether the assisted pregnancy mode affects the clinical pregnancy rate. The correlation of the clinical pregnancy rate with pregnancy rate-related factors obtained above was analyzed using logistic regression analysis model.The clinical pregnancy rate significantly increased (P < .01) in the HCG ratio (36 h/12 h) >1.06 group as compared with the HCG ratio (36 h/12 h) < 0.88 and 0.88-1.06 groups. The serum estrogen (E2) level at 36 hours was significantly lower and the number of retrieved oocytes was significantly higher in the HCG ratio (36 h/12 h) >1.06 group than in the HCG ratio (36 h/12 h) <0.88 and 0.88-1.06 groups (P = .000).The serum HCG ratio (36 h/12 h) may be used as a predictor of IVF-ET clinical pregnancy rate. High clinical pregnancy rate is probably associated with E2 down-regulation in the HCG ratio (36 h/12 h) >1.06 group.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:98

Enthalten in:

Medicine - 98(2019), 50 vom: 20. Dez., Seite e18246

Sprache:

Englisch

Beteiligte Personen:

Zhang, Yi-Le [VerfasserIn]
Wang, Fu-Zhen [VerfasserIn]
Huang, Kai [VerfasserIn]
Hu, Lin-Li [VerfasserIn]
Bu, Zhi-Qin [VerfasserIn]
Sun, Jing [VerfasserIn]
Su, Ying-Chun [VerfasserIn]
Guo, Yi-Hong [VerfasserIn]

Links:

Volltext

Themen:

Comparative Study
Journal Article
Observational Study

Anmerkungen:

Date Completed 24.12.2019

Date Revised 05.10.2022

published: Print

Citation Status MEDLINE

doi:

10.1097/MD.0000000000018246

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM304528382