Uterine leiomyoma among women who conceived following fertility treatment

被引：3

作者：

Biderman-Madar T. ^{[1
]}

Sheiner E. ^{[1
]}

Levy A. ^{[2
]}

Potashnik G. ^{[3
]}

Mazor M. ^{[1
]}

机构：

[1] Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben Gurion University of the Negev, 151, Beer-Sheva

[2] Epidemiology and Health Services Evaluation Department, Soroka University Medical Center, Ben Gurion University of the Negev, Beer-Sheva

[3] Fertility and In-Vitro Fertilization Unit, Soroka University Medical Center, Ben Gurion University of the Negev, Beer-Sheva

来源：

Archives of Gynecology and Obstetrics | 2005年 / 272卷 / 3期

关键词：

Cesarean section; Fertility treatment; Uterine leiomyoma;

D O I：

10.1007/s00404-005-0738-y

中图分类号：

学科分类号：

摘要：

Objective: The objective was to determine if uterine leiomyoma increases the risk of cesarean section (CS) among women who conceived following fertility treatment. Study design: The study population consisted of all women who conceived after fertility treatment with singleton gestation and who delivered between the years 1988 and 1999 in the Soroka University Medical Center. A comparison was performed between patients with and without uterine leiomyomas. The Mantel-Haenszel procedure was used to obtain the weighted odds ratio (OR) for CS, while controlling for confounding variables. Results: During the study period 1,995 women conceived following fertility treatment. Of these, 63 patients had uterine leiomyomas (3.2%). Women treated for fertility with uterine leiomyomas had statistically significant higher rates of CS than those without uterine leiomyomas (61.9% vs. 28.1%, OR=4.2, 95% CI 2.4-7.2; P<0.001). Stratified analysis (the Mantel-Haenszel technique) was used to control for possible confounders, such as gestational diabetes, hypertensive disorders, maternal age, failure of labor to progress, placental abruption, malpresentation, hydramnios, oligohydramnios, and a previous CS. None of those variables changed the significant association or explained the higher incidence of CS in the uterine leiomyoma group. Conclusions: Uterine leiomyoma is an independent risk factor for CS among women who conceived following fertility treatment. © Springer-Verlag 2005.

引用

页码：218 / 222

页数：4

共 22 条

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