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1.
Clin Exp Obstet Gynecol ; 31(1): 42-4, 2004.
Artículo en Inglés | MEDLINE | ID: mdl-14998186

RESUMEN

PURPOSE: To compare the clinical outcomes after the transfer of blastocysts versus early cleavage embryos in assisted reproduction technologies (ART). METHODS: A retrospective analysis of all the ovarian stimulation-in vitro fertilization-embryo transfer cycles performed at the Centre for Human Reproduction, Athens, Greece, between June 1997 and December 2001. RESULTS: The number of blastocysts transferred per ET was significantly lower compared to that of all early cleavage embryos. The implantation rate of blastocysts was significantly higher compared to that of all other modes of transfer. Clinical pregnancy rate after the transfer of blastocysts was significantly increased compared to that after transfer of any early cleavage embryo. The viable pregnancy rate after the transfer of blastocysts was significantly increased only compared to that after the transfer of day-2 embryos. There were no significant differences regarding the multiple gestation rates among the various modes of transfer. CONCLUSION: The use of blastocysts in ART is beneficial when compared to that of day-2 embryos and at least comparable to that of day-3 embryos. Blastocyst culture and transfer remains a favourable and promising option in ART.


Asunto(s)
Transferencia de Embrión , Adulto , Femenino , Fertilización In Vitro , Humanos , Inducción de la Ovulación , Estudios Retrospectivos
2.
Clin Exp Obstet Gynecol ; 30(4): 257-8, 2003.
Artículo en Inglés | MEDLINE | ID: mdl-14664427

RESUMEN

PURPOSE: Presentation of three triplet pregnancies achieved in women 46 years of age and older with the use of donated oocytes. MATERIAL & METHODS: Two healthy perimenopausal women 46 and 48 years old and one healthy menopausal woman 48 years old, requesting fertility options. All of them followed oocyte donation programs resulting in triplet pregnancy. Maternal as well as perinatal complications, mode of delivery and birth weight are reported. RESULTS: Three triplet pregnancies were achieved using donated oocytes. Prenatal diagnosis was reassuring. Preterm rupture of membranes, preterm labor and gestational diabetes complicated the pregnancies. Cesarean section was the mode of delivery for all the cases giving birth to nine healthy neonates weighing between 1,130 and 2,450 g. No postpartum complications were encountered. CONCLUSIONS: Triplet pregnancies achieved with the use of donated oocytes at a very advanced maternal age represent high-risk obstetrical cases. Cautious prenatal evaluation of maternal health and intensive antenatal surveillance are imperative principles allowing the most favorable outcome of these pregnancies.


Asunto(s)
Transferencia de Embrión , Edad Materna , Embarazo Múltiple , Cesárea , Femenino , Fertilización In Vitro , Estudios de Seguimiento , Humanos , Persona de Mediana Edad , Donación de Oocito , Embarazo , Resultado del Embarazo , Medición de Riesgo , Trillizos
3.
Clin Exp Obstet Gynecol ; 28(3): 191-2, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11530872

RESUMEN

Clinical pregnancy in women over 44 years is rare in assisted reproductive technology (ART). A case of a 45-year-old woman with clinical pregnancy after GIFT is described.


Asunto(s)
Transferencia Intrafalopiana del Gameto , Femenino , Humanos , Persona de Mediana Edad , Embarazo , Resultado del Tratamiento
4.
Br J Obstet Gynaecol ; 106(9): 913-6, 1999 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-10492101

RESUMEN

OBJECTIVE: To determine the surgical and anaesthetic benefits and problems associated with the practice of routine exteriorisation of the uterus to facilitate repair at caesarean section. DESIGN: A randomised controlled study of women undergoing caesarean section. After establishment of anaesthesia, women were randomised to either exteriorisation and uterine repair or suture of the uterus in the abdomen. SETTING: A maternity hospital in the United Kingdom. MAIN OUTCOME MEASURES: Peri-operative haemoglobin change, duration of operation, maternal morbidity and length of hospital stay. Intra-operative pain, nausea, vomiting, pulling or tugging sensations were secondary outcome measures. RESULTS: Three hundred and sixteen women were randomised, of whom 288 were subsequently analysed (139 women in whom the uterus was exteriorised and 149 where the uterus was not exteriorised). Exteriorisation of the uterus, an elective caesarean section and a spinal or general anaesthesia each had a statistically significant association with reduced blood loss (P < 0.05). There were no statistically significant differences between the two groups with regard to intra-operative complications or pain, nor were there any statistically significant difference in post-operative wound sepsis, pyrexia, deep vein thrombosis, blood transfusion or length of hospital stay. CONCLUSION: With effective anaesthesia, exteriorisation of the uterus for repair following caesarean delivery is not associated with significant problems and is associated with less blood loss.


Asunto(s)
Cesárea/efectos adversos , Hemoglobina A/análisis , Útero/cirugía , Adulto , Anestesia Obstétrica , Femenino , Humanos , Dolor/etiología , Dimensión del Dolor , Satisfacción del Paciente , Percepción , Hemorragia Posoperatoria/sangre , Hemorragia Posoperatoria/prevención & control , Embarazo , Técnicas de Sutura
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