he Effects of Ovulation Documentation before Insemination on Intrauterine Insemination Cycle Outcomes: A Retrospective Analysis
Introduction: Ovulation is the key event in Intrauterine Insemination (IUI) cycles. Monitoring ovulation prior to insemination will help to alter insemination time to improve pregnancy rate. Aim: To compare pregnancy rates and live birth rates in presence and absence of ultrasonographic feature...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2021-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/14629/46802_CE[Ra1]_F(SHU)_PF1(AKA_SHU)_PFA(AKA_KM_SHU)_PN(SHU).pdf |
| _version_ | 1818741668249075712 |
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| author | Sujata Pradhan Padmalaya Thakur |
| author_facet | Sujata Pradhan Padmalaya Thakur |
| author_sort | Sujata Pradhan |
| collection | DOAJ |
| description | Introduction: Ovulation is the key event in Intrauterine
Insemination (IUI) cycles. Monitoring ovulation prior to
insemination will help to alter insemination time to improve
pregnancy rate.
Aim: To compare pregnancy rates and live birth rates in presence
and absence of ultrasonographic features of ovulation before
insemination in IUI cycles.
Materials and Methods: This was a retrospective cohort
study conducted in a Institute of Medical Sciences and SUM
Hospital, Bhubaneswar. Three hundred eighty eight IUI cycles
performed in the period of January 2017 to December 2018 were
analysed. On the day of IUI prior to insemination, transvaginal
ultrasonography was done 36-38 hours after ovulation trigger
to document ovulation. Presumptive signs of ovulation were
documented in 201 cycles (Group A) and there was no feature
suggestive of ovulation in 187 cycles (Group B). In all the cycles,
single insemination was performed at 38-40 hours after ovulation
trigger. Baseline characteristics were compared. Mann-Whitney
U test was used to compare continuous variables. Chi-square
test and Fisher’s-exact test were applied to find out the
differences in the categorical variables as well as the pregnancy
outcomes among the groups. Pregnancy rate and live birth rate
were considered as the primary outcomes.
Results: Pregnancy rate (17.9% vs 18.2%, p-value=0.945) and
live birth rate (17.9% vs 16.0%, p-value=0.625) were similar
irrespective of ovulation status documented in ultrasonography
performed before insemination.
Conclusion: IUI cycle outcomes are independent of the
ovulation status documented before insemination. |
| first_indexed | 2024-12-18T02:00:17Z |
| format | Article |
| id | doaj.art-3a90bd422e7f4d0e8c2d22c1364741cf |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-18T02:00:17Z |
| publishDate | 2021-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-3a90bd422e7f4d0e8c2d22c1364741cf2022-12-21T21:24:47ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-03-01153QC06QC0810.7860/JCDR/2021/46802.14629he Effects of Ovulation Documentation before Insemination on Intrauterine Insemination Cycle Outcomes: A Retrospective AnalysisSujata Pradhan0 Padmalaya Thakur1Associate Professor, Department of Obstetrics and Gynaecology, Institute of Medical Sciences and SUM Hospital, SOA Deemed to be University, Bhubaneswar, Odisha, India.Assistant Professor, Department of Obstetrics and Gynaecology, Institute of Medical Sciences and SUM Hospital, SOA Deemed to be University, Bhubaneswar, Odisha, India.Introduction: Ovulation is the key event in Intrauterine Insemination (IUI) cycles. Monitoring ovulation prior to insemination will help to alter insemination time to improve pregnancy rate. Aim: To compare pregnancy rates and live birth rates in presence and absence of ultrasonographic features of ovulation before insemination in IUI cycles. Materials and Methods: This was a retrospective cohort study conducted in a Institute of Medical Sciences and SUM Hospital, Bhubaneswar. Three hundred eighty eight IUI cycles performed in the period of January 2017 to December 2018 were analysed. On the day of IUI prior to insemination, transvaginal ultrasonography was done 36-38 hours after ovulation trigger to document ovulation. Presumptive signs of ovulation were documented in 201 cycles (Group A) and there was no feature suggestive of ovulation in 187 cycles (Group B). In all the cycles, single insemination was performed at 38-40 hours after ovulation trigger. Baseline characteristics were compared. Mann-Whitney U test was used to compare continuous variables. Chi-square test and Fisher’s-exact test were applied to find out the differences in the categorical variables as well as the pregnancy outcomes among the groups. Pregnancy rate and live birth rate were considered as the primary outcomes. Results: Pregnancy rate (17.9% vs 18.2%, p-value=0.945) and live birth rate (17.9% vs 16.0%, p-value=0.625) were similar irrespective of ovulation status documented in ultrasonography performed before insemination. Conclusion: IUI cycle outcomes are independent of the ovulation status documented before insemination.https://www.jcdr.net/articles/PDF/14629/46802_CE[Ra1]_F(SHU)_PF1(AKA_SHU)_PFA(AKA_KM_SHU)_PN(SHU).pdfbirthpregnancyultrasonography |
| spellingShingle | Sujata Pradhan Padmalaya Thakur he Effects of Ovulation Documentation before Insemination on Intrauterine Insemination Cycle Outcomes: A Retrospective Analysis Journal of Clinical and Diagnostic Research birth pregnancy ultrasonography |
| title | he Effects of Ovulation Documentation before Insemination on Intrauterine Insemination Cycle Outcomes: A Retrospective Analysis |
| title_full | he Effects of Ovulation Documentation before Insemination on Intrauterine Insemination Cycle Outcomes: A Retrospective Analysis |
| title_fullStr | he Effects of Ovulation Documentation before Insemination on Intrauterine Insemination Cycle Outcomes: A Retrospective Analysis |
| title_full_unstemmed | he Effects of Ovulation Documentation before Insemination on Intrauterine Insemination Cycle Outcomes: A Retrospective Analysis |
| title_short | he Effects of Ovulation Documentation before Insemination on Intrauterine Insemination Cycle Outcomes: A Retrospective Analysis |
| title_sort | he effects of ovulation documentation before insemination on intrauterine insemination cycle outcomes a retrospective analysis |
| topic | birth pregnancy ultrasonography |
| url | https://www.jcdr.net/articles/PDF/14629/46802_CE[Ra1]_F(SHU)_PF1(AKA_SHU)_PFA(AKA_KM_SHU)_PN(SHU).pdf |
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