Uterine artery Doppler pulsatility index at 11-38 weeks in ICSI pregnancies with egg donation.
J Perinat Med
; 46(1): 21-27, 2018 Jan 26.
Article
em En
| MEDLINE
| ID: mdl-28186956
ABSTRACT
BACKGROUND:
Uterine artery Doppler pulsatility index (UtA-PI) may be different in pregnancies with egg donation (ICSI-ED) as compared to conceptions with autologous intra-cytoplasmatic sperm injection (autologous ICSI) and to spontaneous conceptions (SC).METHODS:
One hundred and ninety-four pregnant women with different modes of conception (MC) were prospectively evaluated 53 ICSI-ED, 36 autologous ICSI and 105 SC. To evaluate the effects of different MC on PI, multivariable linear regression (MLR) models predicting UtA-PI were fitted after adjustment for maternal age, body mass index, race, parity, smoking status and gestational age.RESULTS:
In the first trimester, at MLR, autologous ICSI was not associated with a significantly different UtA-PI [estimate (EST) 0.01; 95% confidence interval (CI) -0.19, 0.2; P=0.9] when compared to SC. Conversely, MC by ICSI-ED was associated with lower first trimester UtA-PI (EST -0.32; CI -0.55, -0.08; P=0.01) when compared to SC. At MLR, MC by autologous ICSI and by ICSI-ED were not associated with significant differences in the second and third trimester UtA-PI when compared to SC.CONCLUSION:
ICSI-ED conception presented lower UtA-PI when compared to SC at 11+0-13+6 weeks but not at later assessments. Correction of UtA-PI measurement specifying the origin of oocyte may be useful in first trimester screening.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Doação de Oócitos
/
Injeções de Esperma Intracitoplásmicas
/
Artéria Uterina
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Itália