Live delivery outcome after tubal sterilization reversal: a population-based study
| Autor: | Louise M. Stewart, Roger Hart, David B. Preen, Eva Malacova, Anna Kemp-Casey, Alexandra Bremner |
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| Přispěvatelé: | Malacova, Eva, Kemp-Casey, Anna, Bremner, Alexandra, Hart, Roger, Stewart, Louise Maree, Preen, David Brian |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Pregnancy Rate Sterilization Tubal Population life tables live birth Young Adult cohort studies Pregnancy Medicine Humans sterilization reversal Cumulative incidence education Retrospective Studies Gynecology education.field_of_study business.industry Infant Newborn Obstetrics and Gynecology Retrospective cohort study Western Australia Middle Aged tubal sterilization Confidence interval Treatment Outcome Reproductive Medicine Sterilization (medicine) Sterilization Reversal Female Live birth business Live Birth Cohort study Maternal Age |
| Popis: | usc Objective: To determine the cumulative incidence of live delivery in women who underwent reversal of tubal sterilization. Design: Population-based retrospective cohort study. Setting: Hospitals in Western Australia. Patient(s): All women aged 20-44 years, with a history of hospital admission for tubal sterilization, who subsequently underwent reversal of sterilization during the period 1985 to 2009 in Western Australia (n - 1,898). Intervention(s): Data regarding reversal of sterilization and prior tubal sterilization were extracted from routinely collected administrative hospital separation records, until commencement of IVF treatment. Main Outcome Measure(s): First live-delivery rates. Result(s): There were 969 first live deliveries observed during the study period. The overall cumulative live-delivery rate was 20% (95% confidence interval [CI] 18-23) within the first year after reversal, 40% (95% CI 38-42) at 2 years, 51% (95% CI 48-53) at 5 years, and 52% (95% CI 50-55) at 10 years. The 5-year cumulative live-delivery rate was significantly lower in women who were aged 40-44 years (26%) compared with younger women (aged 20-29, 30-34, and 35-39 years) (50%, 56%, and 51%, respectively). Conclusion(s): Women undergoing reversal of sterilization before they reach age 40 years have at least a 50% chance of delivering a live baby within the next 5 years. Up to that age, there is no significant difference in live deliveries. The live-delivery rate halves after the age of 40 years. Refereed/Peer-reviewed |
| Databáze: | OpenAIRE |
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