Effectiveness of in vitro fertilization in women with previous tubal sterilization

Malacova, Eva; Kemp, Anna; Hart, Roger; Jama-Alol, Khadra; Preen, David B.

doi:10.1016/j.contraception.2014.12.001

Cited by 6 publications

(5 citation statements)

References 17 publications

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“…One recently published study of fecundability in a non-ART population similarly found that nulliparous women had lower fecundity [24]. Although some prior studies have indicated that older women with tubal factor [25] or ovulatory dysfunction [26] may have a reproductive advantage, we did not find this to be the case among women having transfers. No infertility diagnoses were associated with increased rates of live birth.…”

Section: Discussioncontrasting

confidence: 85%

National trends and outcomes of autologous in vitro fertilization cycles among women ages 40 years and older

Hipp

Crawford

Kawwass

et al. 2017

J Assist Reprod Genet

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Section: Discussioncontrasting

confidence: 85%

National trends and outcomes of autologous in vitro fertilization cycles among women ages 40 years and older

Hipp

Crawford

Kawwass

et al. 2017

J Assist Reprod Genet

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“…Tubal ligation (29%) and Previous abortions (19.3%) were some of commonly identified risk factors in our study. Malacova E et al [25] found that women undergoing tubal sterilization at a young age are at particular risk for subsequent ectopic pregnancy. The risk among younger women doubled between 5 and 15 years after sterilization.…”

Section: Discussionmentioning

confidence: 99%

Clinical study of ectopic pregnancy in a tertiary care centre in Andhra Pradesh

Chowdary¹,

Panda²

2023

Int. J. Clin. Obstet. Gynaecol.

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Background: If not detected early, ectopic pregnancy can result in a gynaecological emergency with significant abdominal bleeding, hypovolemic shock, and maternal death. The main objectives of this study are to find out the incidence of ectopic pregnancy, demographic profile of the women, risk factors and to study the clinical presentation, treatment modalities and outcome in our hospital. Methods: This prospective observational study was conducted in the department of obstetrics and Gynaecology, at a tertiary care centre, Andhra Pradesh from January 2021 to December 2022. A total of 62 cases of ectopic pregnancy were analysed for parameters like demographic characteristics, gravidity, risk factors, clinical presentation, treatment modalities and outcome. Results:The incidence of ectopic pregnancy in present study was 9.7 per thousand deliveries. Majority of cases belonged to age group of 21-25 years (67.7%) and were gravida 3 and above (49.1%). Commonest risk factors identified were tubal ligation (29%) and history of previous abortions (19.3%). The frequent presenting symptoms were abdominal pain (87%) and amenorrhea (38.7%). Most of the patients required surgical management (91.9%), medical management was done in 4 cases and expectant management was done in 1 case. Tubal ectopic pregnancy (87%) is more common. Anaemia was seen in 64.5% of cases that required multiple blood transfusions (72.5%) for resuscitation. There was no maternal mortality in the current study. Conclusions: Ectopic pregnancy is an emergency in which timely intervention will reduce the maternal morbidity and mortality. Clinical presentation varies from case to case and still there is a chance of missing the diagnosis in a small proportion of patients even with the availability of advanced imaging techniques. For early diagnosis a clinician should be aware about the various presentations and associated risk factors of ectopic pregnancy.

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“…SR has significantly higher cumulative pregnancy rates and is more cost-effective than IVF [ 30 ], however, in Australia and internationally, IVF has become increasingly available over the last three decades for restoring fertility [ 12 , 31 – 33 ]. Since 2001 all ‘medically necessary’ assisted reproductive treatments have been subsidised through Medicare in Australia [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Declining rates of sterilisation reversal procedures in western Australian women from 1990 to 2008: the relationship with age, hospital type and government policy changes

et al. 2017

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BackgroundFemale sterilisation is usually performed on an elective basis at perceived family completion, however, around 1–3% of women who have undergone sterilisation elect to undergo sterilisation reversal (SR) at a later stage. The trends in SR rates in Western Australia (WA), proportions of SR procedures between hospital types (public and private), and the effects of Federal Government policies on these trends are unknown.MethodsUsing records from statutory state-wide data collections of hospital separations and births, we conducted a retrospective descriptive study of all women aged 15–49 years who underwent a SR procedure during the period 1st January 1990 to 31st December 2008 (n = 1868 procedures).ResultsFrom 1991 to 2007 the annual incidence rate of SR procedures per 10,000 women declined from 47.0 to 3.6. Logistic regression modelling showed that from 1997 to 2001 the odds of women undergoing SR in a private hospital as opposed to all other hospitals were 1.39 times higher (95% CI 1.07–1.81) and 7.51 times higher (95% CI 5.46–10.31) from 2002 to 2008. There were significant decreases in SR rates overall and among different age groups after the Federal Government interventions.ConclusionRates of SR procedures in WA have declined from 1990 to 2008, particularly following policy changes such as the introduction of private health insurance (PHI) policies. This suggests decisions to undergo SR may be influenced by Federal Government interventions.

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Effectiveness of in vitro fertilization in women with previous tubal sterilization

Cited by 6 publications

References 17 publications

National trends and outcomes of autologous in vitro fertilization cycles among women ages 40 years and older

National trends and outcomes of autologous in vitro fertilization cycles among women ages 40 years and older

Clinical study of ectopic pregnancy in a tertiary care centre in Andhra Pradesh

Declining rates of sterilisation reversal procedures in western Australian women from 1990 to 2008: the relationship with age, hospital type and government policy changes

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