a Objective Transperitoneal transmigration of sperm constitutes the mechanism by which ectopic pregnancies occur in unilaterally obstructed fallopian tubes. This study was undertaken to determine how often sperm transmigrate across the peritoneal cavity to effect human pregnancy. Design In women with non-communicating rudimentary uterine horn pregnancies, the ratio of total uterine horn pregnancies to prior contralateral hemi-uterine pregnancies was calculated to infer the overall transperitoneal sperm transmigration rate. The prior parity frequency distribution was also determined to calculate the best-fit per-pregnancy probability of attaining a rudimentary horn pregnancy with each subsequent gestation using maximum likelihood estimation. Setting 20th century.Sample Non-communicating rudimentary uterine horn pregnancies reported from 40 countries.Methods Two hundred and seventy-two cases were identified using manual and computerised searches of Index Medicus, Excerpta Medica, the Index-Catalogue of the Library of the Surgeon-General's Office and standard reference tracing. Main outcome measures The ratio of total prior non-rudimentary uterine horn pregnancies to rudimentary uterine horn pregnancies and the frequency distribution of prior maternal parities. Results Prior to the incident 272 uterine horn pregnancies, the number of observed pregnancies was 292 (ratio ¼ 0.93), implying an aggregate sperm transmigration rate of 0.48. Using the prior parity frequency distribution, the best-fit probability of attaining a rudimentary horn gestation per-pregnancy was 0.51 (95% CI 0.48 -0.56). Conclusions Intraperitoneal sperm transmigration occurs approximately half the time in effecting spontaneous human pregnancies. To minimise the risk of ectopic tubal pregnancy in woman with unilaterally damaged fallopian tubes, salpingectomy should be the preferred surgical treatment, rather than attempting tubal salvage and repair.

Early embryo development and placentome formation were assessed in red deer between Days 27 and 55 of gestation. Uteri were collected from 12 pregnant hinds in which mating was observed following a synchronized oestrus, and the tissues retained for measurements and histological processing for light microscopy. Twelve embryos were recovered with mean embryo weights increasing from 0.02+/-0.01 g at Day 27 to 7.56+/-1.39 g at Day 55 of gestation. Similarly, crown-rump lengths increased from 5.7+/-0.7 mm to 55.3+/-5.9 mm over this period. The trophoblast had extended throughout both uterine horns and gastrulation was completed by Day 27. Limb buds were apparent by Day 34, and by Day 48 the phalanges had separated into hooves and dew claws. Plaques were evident on the trophoblast at Day 34 and, by Day 41, placentomes had formed adjacent to the embryo. These placentomes grew in size as pregnancy advanced; by Day 55 most caruncles had formed placentomes. It is therefore confirmed that placentome formation occurs at about the sixth week of gestation. These results indicate that embryo growth and placentome formation in red deer are generally typical of that observed in other ruminants.

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