TAZE EMBRİYO TRANSFERİ VE DONMA ÇÖZME EMBRİYO TRANSFERLERİNDE TRANSFER ÖNCESİ ENDOMETRİUM KALINLIĞININ GEBELİĞİN HİPERTANSİF HASTALIKLARI VE DOĞUM AĞIRLIĞINA ETKİLERİ
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Tarih
2024-05-02Yazar
Erzeneoglu, Bilal Emre
Ambargo Süresi
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ABSTRACT
Assisted Reproductive Technologies (ART) have become integral in
managing infertility, with in vitro fertilization (IVF) being one of the most
commonly employed methods. As the utilization of IVF continues to rise,
understanding its associated risks and potential factors becomes paramount. This
comprehensive review aims to explore the impact of endometrial thickness on
pregnancy outcomes in ART cycles.
Endometrial thickness, as assessed by pre-transfer ultrasound, serves as a
crucial indicator of endometrial receptivity. Studies have demonstrated its
significance in predicting the success of IVF and clinical pregnancy rates. However,
limited literature exists regarding the effects of endometrial thickness on
hypertensive disorders in pregnancy and birth weight outcomes. Existing studies
predominantly focus on either fresh transfers or frozen-thawed embryo transfers
separately, with few encompassing both patient groups.
Furthermore, fetal growth restriction (FGR) represents another pertinent
concern in ART pregnancies. Lubchenco and colleagues classified fetal growth into
three categories: small for gestational age (SGA), appropriate for gestational age
(AGA), and large for gestational age (LGA). FGR, characterized by a fetus failing to
achieve its growth potential, poses significant implications for perinatal outcomes.
In our study, we conducted a comprehensive analysis of endometrial
thickness measurements in ART cycles and correlated them with pregnancy
outcomes, including hypertensive disorders in pregnancy and birth weight outcomes.
Our findings suggest a significant association between endometrial thickness and
these outcomes, highlighting the importance of endometrial assessment in optimizing
ART success rates and improving maternal and neonatal health.
This review underscores the necessity for further research to elucidate the
relationship between endometrial thickness and pregnancy outcomes
comprehensively. A deeper understanding of these associations can enhance clinical
decision-making and optimize ART success rates, ultimately improving maternal and
neonatal health.
Key Words: IVF, preerclampsia, gestationel hypertension, SGA, birth weight