Ectopic Pregnancy Risk With Assisted Reproductive Technology Procedures

Clayton, Heather B.; Schieve, Laura A.; Peterson, Herbert B.; Jamieson, Denise J.; Reynolds, Meredith A.; Wright, Victoria Clay

doi:10.1097/01.aog.0000196503.78126.62

Cited by 229 publications

(209 citation statements)

References 17 publications

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“…This is a percentage of about 8.95% TEPs/pregnancies in comparison to IVF-ET cycles caused by other factors of infertility (0.75%/PR in our control group; 1.3% [14] up to 18.7%/PR [15] depending on the different assisting reproduction methods applied [16,17]). …”

Section: Resultsmentioning

confidence: 60%

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Previous tubal ectopic pregnancy raises the incidence of repeated ectopic pregnancies in In Vitro fertilization-embryo transfer patients

Weigert

Gruber

Pernicka

et al. 2008

J Assist Reprod Genet

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Purpose To investigate the incidence of Tubal Ectopic Pregnancies (TEP) in IVF-ET patients with respect to the status of the fallopian tubes after a previous TEP. Material and methods This retrospective study compares patients undergoing 481 IVF-ET cycles after conservatively or surgically treated TEP(s) with a Control Group (idiopathic or male factor for IVF-ET indication). Medical reports of surgery and/or hysterosalpingograms prior to the IVF cycles classified the status of the fallopian tubes. Results 12 TEPs (8.95%/Pregnancies (PR)) occurred in the Study Group. In the Control Group one TEP (0.75%/PR; p<0.001) was found. Smoking increased the probability of TEPs (p=0.0028) and of pathological pregnancies (abortion, biochemical and ectopic PR; (p=0.0411)). For statistic evolution logistic regression (PROC GENMOD) and a repeated measure model were applied. Conclusion Women with a previous TEP should be informed about the significantly increased risk for a further TEP in IVF-ET treatment, especially if they are smoking.

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Section: Resultsmentioning

confidence: 60%

“…Numerous investigations deal with "tubal factors" as a common reason for sterility and as an affecting factor on the rate of Ectopic Pregnancies [9]. No data are available on IVF-ET patients, who had a treated TEP prior to an IVF-ET treatment.…”

Section: Introductionmentioning

confidence: 99%

Previous tubal ectopic pregnancy raises the incidence of repeated ectopic pregnancies in In Vitro fertilization-embryo transfer patients

Weigert

Gruber

Pernicka

et al. 2008

J Assist Reprod Genet

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“…Although some studies have not found an association [95], others have alluded to endometriosis as a possible contributing factor for the occurrence of ectopic pregnancies with implicated pathophysiological mechanisms such as abnormal ciliary beat frequency or abnormal tubal peristalsis [96][97][98].…”

Section: Endometriosismentioning

confidence: 99%

Tubal transport of gametes and embryos: a review of physiology and pathophysiology

Ezzati

Djahanbakhch

Arian³

et al. 2014

J Assist Reprod Genet

105

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With the advent of assisted reproductive technology in the past three decades, the clinical importance of fallopian tubes has been relatively overlooked. However, successful spontaneous conception requires normal function of the tube to provide not only a conduit for the gametes to convene and embryo to reach the uterine cavity, but also a physiologically optimized environment for fertilization and early embryonic development. In this review, after a brief description of normal human tubal anatomy and histology, we will discuss tubal transport and its principal effectors, including ciliary motion, muscular contractility and tubal fluid. Furthermore, we will discuss the ciliary ultrastructure and regulation of ciliary beat frequency by ovarian steroids, follicular fluid, angiotensin system, autonomic nervous system and other factors such as adrenomedullin and prostaglandins. In the last section, we describe the adverse impact of various pathological conditions, such as endometriosis, infection and smoking on tubal function and ciliary motility.

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“…The incidence in the general population is approximately 2 % [1]; however a significant increase has been reported after the use of In-Vitro Fertilization (IVF), ranging from 2.1 to 8.6 % [2,3].…”

Section: Introductionmentioning

confidence: 99%

Concurrent ovarian and ipsilateral tubal ectopic pregnancies after a double embryo transfer: a case report

Sueldo

Budinetz

Maslow

et al. 2014

J Assist Reprod Genet

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Ectopic Pregnancy Risk With Assisted Reproductive Technology Procedures

Abstract: II-2.

Cited by 229 publications

References 17 publications

Previous tubal ectopic pregnancy raises the incidence of repeated ectopic pregnancies in In Vitro fertilization-embryo transfer patients

Previous tubal ectopic pregnancy raises the incidence of repeated ectopic pregnancies in In Vitro fertilization-embryo transfer patients

Tubal transport of gametes and embryos: a review of physiology and pathophysiology

Concurrent ovarian and ipsilateral tubal ectopic pregnancies after a double embryo transfer: a case report

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