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Analysis of impact of ultrasound guidance on embryotransfer


Authors: I. Crha ;  J. Žáková;  P. Ventruba;  R. Hudeček;  J. Jarkovský
Authors place of work: Gynekologicko-porodnická klinika LF MU a FN Brno 1;  Institut biostatistiky a analýz MU, Brno 2
Published in the journal: Prakt Gyn 2007; 11(3): 117-119

Summary

Introduction:
Many factors influence the success of infertility treatment by IVF/ET method. One of the crucial moments can be embryotransfer. Transfer ultrasound monitoring (US) can help to easier transfer catheter introducing and its placement in the uterine cavity. The aim of this study was the statistical analysis of the effect of ultrasound guidance during embryo transfer on the pregnancy rate.

Material and methods:
Two hundred and twenty six women treated by IVF/ET were included in this study. Transfers were practised either with or without ultrasound guidance. Basic statistics, Mann-Whitney U test and Fisher´s exact test were used for data description and group differences analysis.

Results:
In goup A (US+) – 113 women, 31 clinical pregnancies were achieved (27.4 %). In group B (US-) – 113 women, 34 clinical pregnacies were achieved (30.1%).

Conclusions:
The difference in pregnancy achievement between group A and B was not statistically significant.

Key words:
embryotransfer – ultrasound – in vitro fertilisation


Zdroje

1. Strickler RC, Christianson C, Crane JP et al. Ultrasound guidance from human embryo transfer. Fertil Steril 1985; 43: 54-61.

2. Žáková J, Ventruba P, Crha I et al. Four embryotransfer techniques and their results.

J Gynaec Obstet 2000; 70 (suppl 1): 65–66.

3. Oborná I, Dostál J, Březinová J et al. Sonografické hodnocení přípravy endometria orální estrogen-progesteronovou substitucí před kryoembryotransferem. Čes Gynek 2004; 69: 431–437.

4. Shamonki MI, Spandorfer SD, Rosenwaks Z. Ultrasound-guided embryo transfer and the accuracy of trial embryo transfer. Hum Reprod 2005; 20(3): 709–716.

5. Buckett WM. A meta-analysis of ultrasound-guided versus clinical touch embryo transfer. Fertil Steril 2003; 80(4): 1037-1041.

6. Wood EG, Batzer FR, Go KJ et al. Ultrasound-guided soft catheter embryo transfers will improve pregnancy rates in in-vitro fertilization. Hum Reprod 2000; 15: 107-112.

7. Tang OS, Ng EH, So WW et al. Ultrasound-guided embryo transfer: a prospective randomized controlled trial. Human Reprod 2001; 16: 2310-2315.

Štítky
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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