Publication details

Incidence ektopické gravidity po technikách in vitro fertilizace

Title in English Incidence of ektopic pregnancy post in vitro fertilisation
Authors

KUŘECOVÁ Barbora HUDEČEK Robert VENTRUBA Pavel CRHA Igor ŽÁKOVÁ Jana VAVRUŠOVÁ Radka

Year of publication 2007
Type Article in Periodical
Magazine / Source Česká gynekologie
MU Faculty or unit

Faculty of Medicine

Citation
Field Gynaecology and obstetrics
Keywords ectopic pregnancy; heterotopic pregnancy; in vitro fertilisation; embryotransfer; kryoembryotransfer
Description Structured abstract Objective: To review prevalence and management of ectopic and heterotopic pregnancies developed after in vitro fertilisation and embryotranfer in the Center of Assisted Reproduction CAR 01 LF MU a FN Brno in a 20 year period. An analysis of their management and therapy. Design: A retrospective analysis Setting: Obstetrics and Gyneacology Department, University Hospital Brno, Czech Republic Methods: The collection of 1487 pregnancies arisen after IVF/ET cycles accomplished between 1988 to 2006 in the Center of Assisted Reproduction CAR 01 Brno, in which the prevalence and the therapy of extrauterine and heterotopic pregnancies was observed. Also the therapeutic procedures of ectopic pregnancies and developement of heterotopic pregnancies were analysed. Results: In the follow up file the number of ectopic pregnancies in that period was 84 from 1487 (5,65 %) clinical pregnancies. Heterotopic pregnancy occured in seven cases (0,47 %). Both ectopic and heterotopic pregnancy rate is higher than in a common population. From the seven heterotopic pregnancies two resulted in the delivery of the intrauterine pregnancy. From the total number of 84 ectopic pregnancies 68 (88,10 %) resulted in laparoscpic salpingectomy as the therapy, only nine of them (11,90 %) were treated conservatively with the tube preservation. Conclusion: Evaluation of the ectopic and heterotopic rate prevalence after assisted conception treatment in the Centre of Assisted Reproduction CAR 01 Brno in the period of 1988 - 2006 shows higher appearance of these complications in pregnancies, which origin is in IVF and ET as an infertility treatment. Key words: ectopic pregnancy; heterotopic pregnancy; in vitro fertilisation; embryotransfer; kryoembryotransfer
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