Obstetric outcome in 232 ovum donation pregnancies

British Journal of Obstetrics and Gynaecology
H I AbdallaJ W Studd

Abstract

To study the obstetric outcome of ovum donation pregnancies. A retrospective analysis of 232 ovum donation pregnancies in the six years from 1988 to 1993. Infertility clinic in a private hospital. All ovum donation recipients that achieved pregnancy in the clinic during the stated time period. Percentages of live birth and miscarriages and ectopic pregnancies; number of sacs identified in the uterus at early (four weeks after transfer) and later scans; incidence of antepartum and postpartum haemorrhage; incidence of pregnancy-induced hypertension; incidence of preterm, low birthweight and small-for-gestational age babies; and incidence of operative deliveries. Of 232 pregnancies, 151 babies were born (live birth rate of 20%); and 81 were lost (57 before eight weeks, 17 after eight weeks and seven ectopic pregnancies). In nine cases there were no intrauterine sacs at the early scan (two 'chemical pregnancies' and seven ectopic pregnancies). In 169 cases there was initially one intrauterine sac, ending with 102 singleton deliveries (60%); in 47 cases there were initially two intrauterine sacs, ending with 11 singleton deliveries (23%) and 32 twin deliveries (68%); in the seven cases where three sacs were identified initially, the...Continue Reading

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