Document Detail


Time to pregnancy after a previous miscarriage in subfertile couples.
MedLine Citation:
PMID:  19442967     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the time to spontaneous ongoing pregnancy after a previous miscarriage in subfertile couples. DESIGN: A prospective cohort study. SETTING: The study was conducted in 38 fertility centers in the Netherlands. PATIENT(S): Subfertile couples who miscarried after completing their basic fertility work-up. INTERVENTION(S): Expectant management after a miscarriage. MAIN OUTCOME MEASURE(S): Spontaneous ongoing pregnancy. RESULT(S): We included 5,663 subfertile couples, of which 1,098 (19%) conceived spontaneously. Among these 1,098 couples, 199 (18%) miscarried and these couples were included in the present study. Follow-up was completed for 171 couples, of which 95 conceived again within 24 months of follow-up. Of these 95 pregnancies, 86 (91%) were ongoing. The cumulative spontaneous ongoing pregnancy rate (PR) after 24 months was 70% (95% confidence interval [CI] 59%-81%). CONCLUSION(S): Subfertile couples, who experience a treatment-independent pregnancy resulting in a miscarriage, have very good prospects of a spontaneous ongoing pregnancy in the near future. This information is useful in counseling couples who had a miscarriage after a previous period of subfertility.
Authors:
Tessa Cox; Jan-Willem van der Steeg; Pieternel Steures; Peter G A Hompes; Fulco van der Veen; Marinus J C Eijkemans; Jules H Schagen van Leeuwen; Cees Renckens; Patrick M M Bossuyt; Ben W J Mol
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't     Date:  2009-05-13
Journal Detail:
Title:  Fertility and sterility     Volume:  94     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-08     Completed Date:  2010-07-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  485-8     Citation Subset:  IM    
Copyright Information:
Copyright 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology, St. Antonius Hospital, Nieuwegein, The Netherlands. T.Cox@antonius.net
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MeSH Terms
Descriptor/Qualifier:
Abortion, Spontaneous / epidemiology*
Counseling
Female
Humans
Infertility / epidemiology*
Male
Netherlands / epidemiology
Pregnancy
Pregnancy Outcome / epidemiology*
Prognosis
Prospective Studies
Reproductive Techniques, Assisted / statistics & numerical data*
Time Factors

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


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