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Factors affecting the pregnancy rate after microsurgical reversal of tubal ligation.

Abstract：

OBJECTIVE:To evaluate the factors affecting the pregnancy rate after microsurgical reversal of tubal ligation. DESIGN:Retrospective clinical study. SETTING:Private practice affiliated with a tertiary care center. One hundred twenty-eight consecutive patients who underwent tubal reversal between October 1992 and May 2001. INTERVENTION(S):Microsurgical tubal reanastomosis performed by a single surgeon. MAIN OUTCOME MEASURE(S):Subsequent pregnancy rates were evaluated with Fisher's exact tests and logistic regression according to clinical characteristics of patients. RESULT(S):The pregnancy rate was 85.7% (54 out of 63) in patients 35 years. The odds ratio (OR) between the two age groups was 7.20, with a 95% confidence interval (CI) of 2.41 to 21.55. The pregnancy rate was 85.4% (35 out of 41) in patients with body mass index (BMI) 25 (OR 3.02; CI 1.04 to 8.77). Patients sterilized 8 years (OR 3.63; CI 1.19 to 11.09). CONCLUSION(S):Age was the primary statistically significant factor affecting pregnancy rate in tubal reversal patients. Body mass index and duration of sterilization had smaller, but statistically significant, associations with pregnancy rate.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Hanafi MM

doi

10.1016/s0015-0282(03)00661-7

keywords:

subject

Has Abstract

pub_date

2003-08-01 00:00:00

pages

434-40

issue

2

eissn

0015-0282

issn

1556-5653

pii

S0015028203006617

journal_volume

80

pub_type

杂志文章

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