Think Twice before Abdominal Delivery: Adverse Effects of Caesarean Section on Fertility and on Embryo Transfer Procedure
| Autor: | Aysenur Urfan Avci, Seyma Orta, Mete Isikoglu, Can D Koksal |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Infertility
medicine.medical_specialty Vaginal delivery Reproductive endocrinology and infertility Obstetrics business.industry medicine.medical_treatment media_common.quotation_subject Retrospective cohort study Fertility medicine.disease Embryo transfer Pelvic inflammatory disease medicine Caesarean section business media_common |
| Zdroj: | Obstetrics & Gynecology International Journal. 8 |
| ISSN: | 2377-4304 |
| Popis: | Objective Although several studies have reported lower birth rates subsequent to Caesarean section CS in comparison with vaginal delivery VD there is no consensus yet In addition there is not any study focusing on the association between difficult transfer and a history of CS We aimed to reveal these two issues Material and methods This retrospective cohort study was conducted at private IVF center Medical records of all patients presented with the diagnosis of secondary infertility Group I included patients with a history of at least one CS group II included patients with a history of VD In order to compare the rate of CS among secondary infertile women at our clinic with the official CS rate in Turkey we performed Z score analysis Results Calculated Z value was higher than the statistically significant Z score level which reflects a probably higher rate of infertility among women with a history of CS We came upon difficulty during embryo transfer in four cases all of which were in group I The implantation rates for CS and ND groups were and respectively Even though there was a tendency in favor of ND group it did not reach a statistically significant level Conclusion There seems an association between CS and subsequent infertility The probability of encountering a difficult embryo transfer may also be a concern in case of IVF treatment |
| Databáze: | OpenAIRE |
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