Luaran Kehamilan pada Pasien dengan Infertilitas Berkaitan dengan Endometriosis, Infertilitas karena Faktor Tuba, dan Unexplained Infertility, setelah Menjalani Prosedur IVF / ICSI di Klinik Aster RSUP Dr. Hasan Sadikin Bandung

Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Padjadjaran Rumah Sakit Dr. Hasan Sadikin Bandung, Dewi Retno Wulandari, Budi Handono, Anita Rachmawati, Dini Hidayat
In: Indonesian Journal of Obstetrics & Gynecology Science · 2020 · vol. 3(2) , pp. 143–149 · doi:10.24198/obgynia.v3n2.206 · W4251568789
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This comparative study found no significant difference in pregnancy outcomes (delivery, abortion) after IVF/ICSI among patients with infertility due to endometriosis, tubal factors, or unexplained causes.

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This retrospective longitudinal comparative study used medical records from 94 patients with infertility due to endometriosis-associated infertility, tubal-factor infertility, or unexplained infertility who underwent IVF or ICSI at Aster Clinic, RSUP Dr. Hasan Sadikin Bandung between January 2013 and December 2018. Pregnancy outcomes assessed were delivery (labor), abortion, and ectopic pregnancy, and the study found no significant differences in these outcomes across infertility causes (p=0.21), with labor occurring in 69.1% and ectopic pregnancy not observed. Tubal-factor infertility was the most common cause (74.5%) and unexplained infertility the least (8.5%), and ICSI was performed most often (78.7%). This paper is centrally about endometriosis-associated infertility and compares pregnancy outcomes after IVF/ICSI across endometriosis-associated infertility, tubal-factor infertility, and unexplained infertility.

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Abstract

Tujuan : Penelitian ini bertujuan untuk mengetahui dan membandingkan luaran kehamilan dari setiap penyebab infertilitas pada pasien yang dilakukan teknologi reproduksi berbantu. Metode : Penelitian ini merupakan penelitian analisis komparatif yang dilakukan secara longitudinal retrospektif. Data didapatkan dari rekam medik pasien dengan infertilitas terkait endometriosis, faktor tuba, dan unexplained infertility, setelah menjalani prosedur in vitro fertilization dan intra cytoplasmic sperm injection pada Januari 2013− Desember 2018. Luaran yang dinilai pada penelitian ini adalah kehamilan, abortus, dan kehamilan ektopik. Hasil : Sebanyak 94 pasien menjadi subjek penelitian ini. Infertilitas karena faktor tuba menjadi penyebab infertilitas terbanyak (74,5%) dan unexplained infertility menjadi penyebab terjarang (8,5%). Intra cytoplasmic sperm injection merupakan metode reproduksi berbantu yang paling sering dilakukan (78,7%). Luaran kehamilan dengan persalinan terjadi pada 65 subjek (69,1%) sementara sisanya abortus. Tidak terdapat kejadian kehamilan ektopik. Tidak terdapat perbedaan bermakna dalam luaran kehamilan berdasarkan penyebab infertilitasnya (p=0,21). Kesimpulan : Tidak terdapat perbedaan luaran kehamilan baik partus ataupun abortus pada pasien yang dilakukan teknologi reproduksi berbantu berdasarkan penyebab infertilitasnya. Pregnancy Outcomes in Patients with Infertility Related to Endometriosis, Infertility due to Tubal Factors, and Unexplained Infertility, After Undergoing IVF/ICSI Procedures in Aster Clinic General Hospital Dr. Hasan Sadikin Bandung Abstract Objective : This study was aimed to describe and compare the pregnancy outcomes in each cause of infertility on patients who get assisted-reproduction technology procedure. Method : This was an analytic comparative study, that conducted longitudinal-retrospectively. The data were obtained from medical records of patients with endometriosis associated infertility, tubal factors associated infertility, and unexplained infertility after got either in vitro fertilization or intra cytoplasmic sperm injection procedure from January 2013–December 2018. The pregnancy outcomes consisted of delivery, abortion, or ectopic pregnancy. Result : A total of 94 patients were enrolled in this study. Tubal factors was the commonest cause of infertility (74.5%) and unexplained infertility was the most rarely cause of infertility (8.5%). Intra cytoplasmic sperm injection was the most frequent procedures (78.7%). Labor were occurred in 65 subjects (69.1%) and the remains aborted. Ectopic pregnancy was not occurred. There was no significant difference in pregnancy outcomes according the causes of infertility. (p=0,21). Conclusion : Pregnancy outcomes, both labor and abortion, were not different based on the cause of infertility among patients who get assisted-reproduction technology procedure. Key words : assisted-reproduction technology, in vitro fertilization, infertility, intra cytoplasmic sperm
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Abstract

Tujuan: Penelitian ini bertujuan untuk mengetahui dan membandingkan luaran kehamilan dari setiap penyebab infertilitas pada pasien yang dilakukan teknologi reproduksi berbantu. Metode: Penelitian ini merupakan penelitian analisis komparatif yang dilakukan secara longitudinal retrospektif. Data didapatkan dari rekam medik pasien dengan infertilitas terkait endometriosis, faktor tuba, dan unexplained infertility, setelah menjalani prosedur in vitro fertilization dan intra cytoplasmic sperm injection pada Januari 2013− Desember 2018. Luaran yang dinilai pada penelitian ini adalah kehamilan, abortus, dan kehamilan ektopik. Hasil: Sebanyak 94 pasien menjadi subjek penelitian ini. Infertilitas karena faktor tuba menjadi penyebab infertilitas terbanyak (74,5%) dan unexplained infertility menjadi penyebab terjarang (8,5%). Intra cytoplasmic sperm injection merupakan metode reproduksi berbantu yang paling sering dilakukan (78,7%). Luaran kehamilan dengan persalinan terjadi pada 65 subjek (69,1%) sementara sisanya abortus. Tidak terdapat kejadian kehamilan ektopik. Tidak terdapat perbedaan bermakna dalam luaran kehamilan berdasarkan penyebab infertilitasnya (p=0,21). Kesimpulan: Tidak terdapat perbedaan luaran kehamilan baik partus ataupun abortus pada pasien yang dilakukan teknologi reproduksi berbantu berdasarkan penyebab infertilitasnya. Pregnancy Outcomes in Patients with Infertility Related to Endometriosis, Infertility due to Tubal Factors, and Unexplained Infertility, After Undergoing IVF/ICSI Procedures in Aster Clinic General Hospital Dr. Hasan Sadikin Bandung

Abstract

Objective: This study was aimed to describe and compare the pregnancy outcomes in each cause of infertility on patients who get assisted-reproduction technology procedure.

Method

This was an analytic comparative study, that conducted longitudinal-retrospectively. The data were obtained from medical records of patients with endometriosis associated infertility, tubal factors associated infertility, and unexplained infertility after got either in vitro fertilization or intra cytoplasmic sperm injection procedure from January 2013–December 2018. The pregnancy outcomes consisted of delivery, abortion, or ectopic pregnancy.

Result

A total of 94 patients were enrolled in this study. Tubal factors was the commonest cause of infertility (74.5%) and unexplained infertility was the most rarely cause of infertility (8.5%). Intra cytoplasmic sperm injection was the most frequent procedures (78.7%). Labor were occurred in 65 subjects (69.1%) and the remains aborted. Ectopic pregnancy was not occurred. There was no significant difference in pregnancy outcomes according the causes of infertility. (p=0,21).

Conclusion

Pregnancy outcomes, both labor and abortion, were not different based on the cause of infertility among patients who get assisted-reproduction technology procedure. Key words: assisted-reproduction technology, in vitro fertilization, infertility, intra cytoplasmic sperm

Keywords

Full Text: PDFReferences Benaglia L, Candotti G, Papaleo E, Pagliardini L, Leonardi M, Reschini M, dkk. Pregnancy outcome in women with endometriosis achieving pregnancy with IVF. Hum Reprod. 2016;31(12):2730−6. Omland AK, Abyholm T, Fedorcsak P, Ertzeid G, Oldereid NB, Bjercke S, dkk. Pregnancy outcome after IVF and ICSI in unexplained, endometriosis-associated and tubal factor infertility. Hum Reprod. 2005;20(3):722−7. Somigliana E, Paffoni A, Busnelli A, Filippi F, Pagliardini L, Vigano P, dkk. Age-related infertility and unexplained infertility: an intricate clinical dilemma. Hum Reprod. 2016;31(7):1390−6. Oktarina A, Abadi A, Bachsin R. Faktor-faktor yang mempengaruhi infertilitas pada wanita di Klinik Fertilitas dan Endokrinologi Reproduksi. MKS. 2014;46(4). Aster Fertility Clinic. Profil Instalasi Teknologi Reproduksi Berbantu RSUP dr. Hasan Sadikin Bandung; 2018. Oron G, Son WY, Buckett W, Tulandi T, Holzer H. The association between embryo quality and perinatal outcome of singletons born after single embryo transfers: a pilot study. Hum Reprod. 2014;29(7):1444−51. Audu BM, Massa AA, Bukar M, El-Nafaty AU, Sa’ad ST. Prevalence of utero-tubal infertility. J Obstet Gynaecol. 2009;29(4):326−8. Al Subhi T, Al Jashnmi RN, Al Khaduri M, Gowri V. Prevalence of tubal obstruction in the hysterosalpingogram of women with primary and secondary infertility. J Reprod Infertil. 2013 Oct;14(4):214−6. Bollig K, Drobnis E,Hsu A. Endometriosis-associated infertility in the” EIVF” database. Fertility and Sterility. 2018;110(4):382 Kawwass JF, Crawford S, Kissin DM, Session DR, Boulet S, Jamieson DJ. Tubal factor infertility and perinatal risk after assisted reproductive technology. Obstet Gynecol. 2013;121(6):1263−1271. González-Comadran M, Schwarze JE, Zegers-Hochschild F, Souza MD, Carreras R, Checa MÁ. The impact of endometriosis on the outcome of Assisted Reproductive Technology. Reprod Biol Endocrinol. 2017;15(1):8. Collins GS, Thakore, Goldfarb JM. “IVF outcomes in young patients with unexplained infertility: an analysis of 273,779 cycles from the 2011−2013 society for assisted reproductive technology clinic outcome reporting system registry.Fertility and Sterility. 2016;106(2): 171. DOI: http://dx.doi.org/10.24198/obgynia.v3i2.206 Refbacks - There are currently no refbacks.

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