Document Detail


Review of unexplained infertility and obstetric outcome: a 10 year review.
MedLine Citation:
PMID:  11726580     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Increased maternal and fetal risks have been reported in pregnancies following unexplained infertility. Our aims were to examine the obstetric and perinatal outcome of singleton pregnancies in couples with unexplained infertility and explore the impact of fertility treatment. METHODS: Women with unexplained infertility were identified from the Aberdeen Fertility Clinic Database. Their unit numbers were matched against the Aberdeen Maternity and Neonatal Databank (AMND) in order to extract obstetric records of those women with subsequent pregnancy outcomes. The general obstetric population served as a control group. RESULTS: Women with unexplained infertility were older [30.8 versus 27.9 years, 95% confidence interval (CI) for difference = +2.4 to +3.4] and more likely to be primiparous (59 versus 40%, 95% CI = +1.3 to +1.9). After adjusting for age and parity they had a higher incidence of pre-eclampsia, abruptio placentae, preterm labour, emergency Caesarean section and induction of labour in comparison with the general population (P < 0.05). Perinatal outcome did not differ between women with unexplained infertility and those of the general population. The multiple pregnancy rate was 5.4% higher following fertility treatment than in women who conceived spontaneously (95% CI = +2.8 to +9.7). CONCLUSIONS: Women with unexplained infertility are at higher risk of obstetric complications which persist even after adjusting for age, parity and fertility treatment. The reasons are however unclear and merit further study.
Authors:
Z Pandian; S Bhattacharya; A Templeton
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Human reproduction (Oxford, England)     Volume:  16     ISSN:  0268-1161     ISO Abbreviation:  Hum. Reprod.     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2001-11-29     Completed Date:  2002-02-12     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8701199     Medline TA:  Hum Reprod     Country:  England    
Other Details:
Languages:  eng     Pagination:  2593-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, University of Aberdeen, Aberdeen Maternity Hospital, Aberdeen AB25 2ZD, UK. z.pandian@abdn.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Abruptio Placentae / epidemiology
Adult
Age Factors
Cesarean Section / statistics & numerical data
Female
Humans
Infertility* / etiology,  therapy
Labor, Induced / statistics & numerical data
Male
Obstetric Labor, Premature / epidemiology
Parity
Pre-Eclampsia / epidemiology
Pregnancy
Pregnancy Outcome*
Pregnancy, Multiple

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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