Association of the Number of Embryos Transferred with Ectopic Pregnancy after Embryo Transfer in Patients with Salpingectomy or Proximal Tubal Occlusion

Background: With the prevalence of assisted reproductive technology (ART), the incidence of ectopic pregnancy (EP) is increasing, especially in patients with salpingectomy or proximal tubal occlusion. Methods: A total of 11,609 women who were undergoing ART and had undergone salpingectomy or proxima...

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Main Authors: Caihe Wen, Yuan Zhang, Xinru Xia, Xiang Ma, Yundong Mao, Dao Wu Wang, Jiayin Liu
Format: Article
Language:English
Published: IMR Press 2022-08-01
Series:Clinical and Experimental Obstetrics & Gynecology
Subjects:
Online Access:https://www.imrpress.com/journal/CEOG/49/9/10.31083/j.ceog4909196
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author Caihe Wen
Yuan Zhang
Xinru Xia
Xiang Ma
Yundong Mao
Dao Wu Wang
Jiayin Liu
author_facet Caihe Wen
Yuan Zhang
Xinru Xia
Xiang Ma
Yundong Mao
Dao Wu Wang
Jiayin Liu
author_sort Caihe Wen
collection DOAJ
description Background: With the prevalence of assisted reproductive technology (ART), the incidence of ectopic pregnancy (EP) is increasing, especially in patients with salpingectomy or proximal tubal occlusion. Methods: A total of 11,609 women who were undergoing ART and had undergone salpingectomy or proximal tubal occlusion, and 5388 women who achieved a clinical pregnancy were included in the study. Statistical analysis was used to determine whether the number of embryos transferred was associated with EP. Results: Both the number of embryos transferred and the day of embryo transfer differed significantly between those with and without EP (p < 0.05), while the number of embryos transferred was associated with interstitial pregnancy (IP) (p < 0.05) in those undergoing frozen-thawed embryo transfer (ET) cycles. Following multivariate modeling, the odds of having an EP in women undergoing frozen-thawed ET cycles increased with the number of embryos transferred (odds ratio [OR] 2.003, 95% confidence interval [95% CI] 1.036–3.876). Conclusions: The embryo transfer number was considered a risk factor for EP in patients undergoing frozen-thawed ET who had undergone salpingectomy or proximal tubal occlusion.
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spelling doaj.art-da2ca787410c451ca6871359edba6ae72022-12-22T04:26:04ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632022-08-0149919610.31083/j.ceog4909196S0390-6663(22)01779-1Association of the Number of Embryos Transferred with Ectopic Pregnancy after Embryo Transfer in Patients with Salpingectomy or Proximal Tubal OcclusionCaihe Wen0Yuan Zhang1Xinru Xia2Xiang Ma3Yundong Mao4Dao Wu Wang5Jiayin Liu6State Key Laboratory of Reproductive Medicine, the Center for Clinical Reproductive Medicine, The First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, ChinaState Key Laboratory of Reproductive Medicine, the Center for Clinical Reproductive Medicine, The First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, ChinaState Key Laboratory of Reproductive Medicine, the Center for Clinical Reproductive Medicine, The First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, ChinaState Key Laboratory of Reproductive Medicine, the Center for Clinical Reproductive Medicine, The First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, ChinaState Key Laboratory of Reproductive Medicine, the Center for Clinical Reproductive Medicine, The First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, ChinaState Key Laboratory of Reproductive Medicine, the Center for Clinical Reproductive Medicine, The First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, ChinaState Key Laboratory of Reproductive Medicine, the Center for Clinical Reproductive Medicine, The First Affiliated Hospital of Nanjing Medical University, 210029 Nanjing, Jiangsu, ChinaBackground: With the prevalence of assisted reproductive technology (ART), the incidence of ectopic pregnancy (EP) is increasing, especially in patients with salpingectomy or proximal tubal occlusion. Methods: A total of 11,609 women who were undergoing ART and had undergone salpingectomy or proximal tubal occlusion, and 5388 women who achieved a clinical pregnancy were included in the study. Statistical analysis was used to determine whether the number of embryos transferred was associated with EP. Results: Both the number of embryos transferred and the day of embryo transfer differed significantly between those with and without EP (p < 0.05), while the number of embryos transferred was associated with interstitial pregnancy (IP) (p < 0.05) in those undergoing frozen-thawed embryo transfer (ET) cycles. Following multivariate modeling, the odds of having an EP in women undergoing frozen-thawed ET cycles increased with the number of embryos transferred (odds ratio [OR] 2.003, 95% confidence interval [95% CI] 1.036–3.876). Conclusions: The embryo transfer number was considered a risk factor for EP in patients undergoing frozen-thawed ET who had undergone salpingectomy or proximal tubal occlusion.https://www.imrpress.com/journal/CEOG/49/9/10.31083/j.ceog4909196interstitial pregnancyectopic pregnancyivf-etnumbers of embryos transferreddays of embryo transfer
spellingShingle Caihe Wen
Yuan Zhang
Xinru Xia
Xiang Ma
Yundong Mao
Dao Wu Wang
Jiayin Liu
Association of the Number of Embryos Transferred with Ectopic Pregnancy after Embryo Transfer in Patients with Salpingectomy or Proximal Tubal Occlusion
Clinical and Experimental Obstetrics & Gynecology
interstitial pregnancy
ectopic pregnancy
ivf-et
numbers of embryos transferred
days of embryo transfer
title Association of the Number of Embryos Transferred with Ectopic Pregnancy after Embryo Transfer in Patients with Salpingectomy or Proximal Tubal Occlusion
title_full Association of the Number of Embryos Transferred with Ectopic Pregnancy after Embryo Transfer in Patients with Salpingectomy or Proximal Tubal Occlusion
title_fullStr Association of the Number of Embryos Transferred with Ectopic Pregnancy after Embryo Transfer in Patients with Salpingectomy or Proximal Tubal Occlusion
title_full_unstemmed Association of the Number of Embryos Transferred with Ectopic Pregnancy after Embryo Transfer in Patients with Salpingectomy or Proximal Tubal Occlusion
title_short Association of the Number of Embryos Transferred with Ectopic Pregnancy after Embryo Transfer in Patients with Salpingectomy or Proximal Tubal Occlusion
title_sort association of the number of embryos transferred with ectopic pregnancy after embryo transfer in patients with salpingectomy or proximal tubal occlusion
topic interstitial pregnancy
ectopic pregnancy
ivf-et
numbers of embryos transferred
days of embryo transfer
url https://www.imrpress.com/journal/CEOG/49/9/10.31083/j.ceog4909196
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