Evaluation of the Relationship between Air Bubbles Depth and Pregnancy Rate in ICSI Cycles

Document Type : Original Article

Authors

Department of Obstetrics and Gynecology- Ain Shams University

10.12816/0037827

Abstract

Objective: to determine the relationship between embryo transfer outcome and the distance between fundal endometrial surface and air bubbles assessed by trans-abdominal ultrasound
Design: Prospective (cohort) study
Setting: This study was conducted in assisted reproductive technology (ART) unit of Ain Shams University Hospital from April 2015 to October 2016.
Patient(s): Eighty two women undergoing ICSI were enrolled in and a written informed consent was obtained from each participant.
Intervention(s): no patient received any additional procedure or intervention.
Outcome measuers: The primary outcome was biochemical pregnancy rate based on serum beta-hCG level at 14 days after ET. Secondary outcome was clinical pregnancy rate using trans-vaginal US examination at 6 – 8 weeks of amenorrhea to detect the presence of fetal sac & pulsation.
Results: Implantation, biochemical and clinical pregnancy rates were significantly higher in distance < 10 mm group than ≥ 10 mm group.
Conclusion: air bubble used as an identifier of the position of the embryo at ET can be determinative for pregnancy rates. Clinical PRs were higher in cases with air bubbles < 10 mm from fundal endometrial surface.
 

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