Discriminant analysis forecasting model of first trimester pregnancy outcomes developed by following 9963 infertile patients after in vitro fertilization

A forecasting method was developed to predict first trimester pregnancy outcomes through ultrasound scan on days 27–29 after ET and the follow-up can be planned accordingly.

0
0

Authors

Yan Yi, M.D., Xihong Li, Ph.D., M.D., Yan Ouyang, M.D., Ge Lin, Ph.D., M.D., Guangxiu Lu, Ph.D., M.D., Fei Gong, Ph.D, M.D.

Volume 105, Issue 5, Pages 1261-1265

Abstract

Objective:

To investigate a forecasting method developed to predict first trimester pregnancy outcomes using the first routine ultrasound scan for early pregnancy on days 27–29 after ET and to determine whether to perform a repeated scan several days later based on this forecasting method.

Design:

Prospective analysis.

Setting:

Infertile patients at an assisted reproductive technology center.

Patient(s):

A total of 9,963 patients with an early singleton pregnancy after in vitro fertilization (IVF)-ET.

Intervention(s):

None.

Main Outcome Measure(s):

Ongoing pregnancy >12 weeks of gestation.

Result(s):

The classification score of ongoing pregnancy was equal to (1.57 × Maternal age) + (1.01 × Mean sac diameter) + (−0.19 × Crown-rump length) + 25.15 (if cardiac activity is present) + 1.30 (if intrauterine hematomas are present) − 47.35. The classification score of early pregnancy loss was equal to (1.66 × Maternal age) + (0.84 × Mean sac diameter) + (−0.38 × Crown-rump length) + 8.69 (if cardiac activity is present) + 1.60 (if intrauterine hematomas are present) − 34.77. In verification samples, 94.44% of cases were correctly classified using these forecasting models.

Conclusion(s):

The discriminant forecasting models are accurate in predicting first trimester pregnancy outcomes based on the first scan for early pregnancy after ET. When the predictive result is ongoing pregnancy, a second scan can be postponed until 11–14 weeks if no symptoms of abdominal pain or vaginal bleeding are present. When the predictive results suggest early pregnancy loss, repeated scans are imperative to avoid a misdiagnosis before evacuating the uterus.

Read the full text at: http://www.fertstert.org/article/S0015-0282(16)00074-1/fulltext


Go to the profile of Fertility and Sterility

Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

No comments yet.