First trimester trophoblast and placental bed vascular volume measurements in IVF or IVF/ICSI pregnancies

STUDY QUESTION Are first trimester trophoblast volume (TV) and placental bed vascular volume (PBVV) different in IVF or IVF/ICSI pregnancies in comparison with spontaneously conceived pregnancies? SUMMARY ANSWER Any possible abnormal placentation in IVF or IVF/ICSI pregnancies in comparison with spo...

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Veröffentlicht in:Human reproduction (Oxford) 2014-12, Vol.29 (12), p.2644-2649
Hauptverfasser: Rifouna, M.S., Reus, A.D., Koning, A.H.J., van der Spek, P.J., Exalto, N., Steegers, E.A.P., Laven, J.S.E.
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container_end_page 2649
container_issue 12
container_start_page 2644
container_title Human reproduction (Oxford)
container_volume 29
creator Rifouna, M.S.
Reus, A.D.
Koning, A.H.J.
van der Spek, P.J.
Exalto, N.
Steegers, E.A.P.
Laven, J.S.E.
description STUDY QUESTION Are first trimester trophoblast volume (TV) and placental bed vascular volume (PBVV) different in IVF or IVF/ICSI pregnancies in comparison with spontaneously conceived pregnancies? SUMMARY ANSWER Any possible abnormal placentation in IVF or IVF/ICSI pregnancies in comparison with spontaneously conceived pregnancies is not detected by a difference in PBVV or TV at an early gestational age (GA). WHAT IS KNOWN ALREADY Assisted reproductive technology pregnancies have been associated with an increased risk of placenta-related adverse pregnancy outcomes. It is unclear whether these effects originate from infertility or from the technique itself. STUDY DESIGN, SIZE, DURATION We performed a retrospective cohort study in which 154 pregnant patients qualified for participation. PARTICIPANTS/MATERIALS, SETTING, METHODS Out of 154 pregnant patients, 84 conceived spontaneously and 70 conceived after IVF or IVF/ICSI. We determined the TV at 10 weeks GA by Virtual Organ Computer-aided AnaLysis measuring application and the PBVV at 12 weeks GA by the virtual reality operating system of BARCO I-Space in both subgroups. The investigators were blinded to the mode of conception during the measurements. Analysis was limited to singleton pregnancies with only one sac ever detectable. MAIN RESULTS AND THE ROLE OF CHANCE There were no differences in TV (mean 42.7, SD 15.9 versus mean 41.2, SD 13.9, P = 0.70) and PBVV (mean 27.6, SD 16.9 versus mean 24.8, SD 19.9, P = 0.20) between IVF or IVF/ICSI pregnancies and spontaneously conceived pregnancies. There was a significant correlation between TV and PBVV (rs = 0.283, P = 0.004). LIMITATIONS, REASONS FOR CAUTION The limitations of the present study concern the small size of the study groups. WIDER IMPLICATIONS OF THE FINDINGS IVF or IVF/ICSI does not seem to be associated with abnormal placentation. STUDY FUNDING/COMPETING INTEREST(S) This study was financially supported by the Erasmus Trustfonds, the Meindert de Hoop foundation and the Fonds NutsOhra. No competing interests are declared.
doi_str_mv 10.1093/humrep/deu273
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SUMMARY ANSWER Any possible abnormal placentation in IVF or IVF/ICSI pregnancies in comparison with spontaneously conceived pregnancies is not detected by a difference in PBVV or TV at an early gestational age (GA). WHAT IS KNOWN ALREADY Assisted reproductive technology pregnancies have been associated with an increased risk of placenta-related adverse pregnancy outcomes. It is unclear whether these effects originate from infertility or from the technique itself. STUDY DESIGN, SIZE, DURATION We performed a retrospective cohort study in which 154 pregnant patients qualified for participation. PARTICIPANTS/MATERIALS, SETTING, METHODS Out of 154 pregnant patients, 84 conceived spontaneously and 70 conceived after IVF or IVF/ICSI. We determined the TV at 10 weeks GA by Virtual Organ Computer-aided AnaLysis measuring application and the PBVV at 12 weeks GA by the virtual reality operating system of BARCO I-Space in both subgroups. The investigators were blinded to the mode of conception during the measurements. Analysis was limited to singleton pregnancies with only one sac ever detectable. MAIN RESULTS AND THE ROLE OF CHANCE There were no differences in TV (mean 42.7, SD 15.9 versus mean 41.2, SD 13.9, P = 0.70) and PBVV (mean 27.6, SD 16.9 versus mean 24.8, SD 19.9, P = 0.20) between IVF or IVF/ICSI pregnancies and spontaneously conceived pregnancies. There was a significant correlation between TV and PBVV (rs = 0.283, P = 0.004). LIMITATIONS, REASONS FOR CAUTION The limitations of the present study concern the small size of the study groups. WIDER IMPLICATIONS OF THE FINDINGS IVF or IVF/ICSI does not seem to be associated with abnormal placentation. STUDY FUNDING/COMPETING INTEREST(S) This study was financially supported by the Erasmus Trustfonds, the Meindert de Hoop foundation and the Fonds NutsOhra. No competing interests are declared.</description><identifier>ISSN: 0268-1161</identifier><identifier>EISSN: 1460-2350</identifier><identifier>DOI: 10.1093/humrep/deu273</identifier><identifier>PMID: 25336709</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Blood Volume ; Female ; Fertilization in Vitro ; Fetal Development ; Humans ; Placenta - blood supply ; Placenta - diagnostic imaging ; Placentation ; Pregnancy ; Pregnancy Trimester, First ; Trophoblasts - diagnostic imaging ; Ultrasonography</subject><ispartof>Human reproduction (Oxford), 2014-12, Vol.29 (12), p.2644-2649</ispartof><rights>The Author 2014. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oup.com 2014</rights><rights>The Author 2014. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. 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SUMMARY ANSWER Any possible abnormal placentation in IVF or IVF/ICSI pregnancies in comparison with spontaneously conceived pregnancies is not detected by a difference in PBVV or TV at an early gestational age (GA). WHAT IS KNOWN ALREADY Assisted reproductive technology pregnancies have been associated with an increased risk of placenta-related adverse pregnancy outcomes. It is unclear whether these effects originate from infertility or from the technique itself. STUDY DESIGN, SIZE, DURATION We performed a retrospective cohort study in which 154 pregnant patients qualified for participation. PARTICIPANTS/MATERIALS, SETTING, METHODS Out of 154 pregnant patients, 84 conceived spontaneously and 70 conceived after IVF or IVF/ICSI. We determined the TV at 10 weeks GA by Virtual Organ Computer-aided AnaLysis measuring application and the PBVV at 12 weeks GA by the virtual reality operating system of BARCO I-Space in both subgroups. The investigators were blinded to the mode of conception during the measurements. Analysis was limited to singleton pregnancies with only one sac ever detectable. MAIN RESULTS AND THE ROLE OF CHANCE There were no differences in TV (mean 42.7, SD 15.9 versus mean 41.2, SD 13.9, P = 0.70) and PBVV (mean 27.6, SD 16.9 versus mean 24.8, SD 19.9, P = 0.20) between IVF or IVF/ICSI pregnancies and spontaneously conceived pregnancies. There was a significant correlation between TV and PBVV (rs = 0.283, P = 0.004). LIMITATIONS, REASONS FOR CAUTION The limitations of the present study concern the small size of the study groups. WIDER IMPLICATIONS OF THE FINDINGS IVF or IVF/ICSI does not seem to be associated with abnormal placentation. STUDY FUNDING/COMPETING INTEREST(S) This study was financially supported by the Erasmus Trustfonds, the Meindert de Hoop foundation and the Fonds NutsOhra. No competing interests are declared.</description><subject>Blood Volume</subject><subject>Female</subject><subject>Fertilization in Vitro</subject><subject>Fetal Development</subject><subject>Humans</subject><subject>Placenta - blood supply</subject><subject>Placenta - diagnostic imaging</subject><subject>Placentation</subject><subject>Pregnancy</subject><subject>Pregnancy Trimester, First</subject><subject>Trophoblasts - diagnostic imaging</subject><subject>Ultrasonography</subject><issn>0268-1161</issn><issn>1460-2350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLw0AURgdRbK0u3cos3cTOK5NkKcVqoeDCxzbM48ZGJg9nMoL_3pRUXbq6H5fDd7kHoUtKbigp-HIXGw_90kJkGT9CcyokSRhPyTGaEybzhFJJZ-gshHdCxpjLUzRjKecyI8Uc1evahwEPvm4gDODH1PW7Tjs1blVrce-UgXZQDmuw-FMFE53y-LNzsQHcgArRQzMSAdct3ryucef3Y7lZPW1w7-GtVa2pIZyjk0q5ABeHuUAv67vn1UOyfbzfrG63ieEyHZKc0owVWWEyQzhQLW0GImUiBwF5oXVldAVgtcmtYkqnIstzAsZSoyRolfIFup56e999xPGpsqmDAedUC10MJZVMFFxkYo8mE2p8F4KHquxHD8p_lZSUe7vlZLec7I781aE66gbsL_2j8-92F_t_ur4BXOKH1Q</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>Rifouna, M.S.</creator><creator>Reus, A.D.</creator><creator>Koning, A.H.J.</creator><creator>van der Spek, P.J.</creator><creator>Exalto, N.</creator><creator>Steegers, E.A.P.</creator><creator>Laven, J.S.E.</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20141201</creationdate><title>First trimester trophoblast and placental bed vascular volume measurements in IVF or IVF/ICSI pregnancies</title><author>Rifouna, M.S. ; Reus, A.D. ; Koning, A.H.J. ; van der Spek, P.J. ; Exalto, N. ; Steegers, E.A.P. ; Laven, J.S.E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-81172979c7c03e1b6d7e45248e4e89bbfcbfeedbc8da2ab547880ecd1ca6eba53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Blood Volume</topic><topic>Female</topic><topic>Fertilization in Vitro</topic><topic>Fetal Development</topic><topic>Humans</topic><topic>Placenta - blood supply</topic><topic>Placenta - diagnostic imaging</topic><topic>Placentation</topic><topic>Pregnancy</topic><topic>Pregnancy Trimester, First</topic><topic>Trophoblasts - diagnostic imaging</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rifouna, M.S.</creatorcontrib><creatorcontrib>Reus, A.D.</creatorcontrib><creatorcontrib>Koning, A.H.J.</creatorcontrib><creatorcontrib>van der Spek, P.J.</creatorcontrib><creatorcontrib>Exalto, N.</creatorcontrib><creatorcontrib>Steegers, E.A.P.</creatorcontrib><creatorcontrib>Laven, J.S.E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Human reproduction (Oxford)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rifouna, M.S.</au><au>Reus, A.D.</au><au>Koning, A.H.J.</au><au>van der Spek, P.J.</au><au>Exalto, N.</au><au>Steegers, E.A.P.</au><au>Laven, J.S.E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>First trimester trophoblast and placental bed vascular volume measurements in IVF or IVF/ICSI pregnancies</atitle><jtitle>Human reproduction (Oxford)</jtitle><addtitle>Hum Reprod</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>29</volume><issue>12</issue><spage>2644</spage><epage>2649</epage><pages>2644-2649</pages><issn>0268-1161</issn><eissn>1460-2350</eissn><abstract>STUDY QUESTION Are first trimester trophoblast volume (TV) and placental bed vascular volume (PBVV) different in IVF or IVF/ICSI pregnancies in comparison with spontaneously conceived pregnancies? SUMMARY ANSWER Any possible abnormal placentation in IVF or IVF/ICSI pregnancies in comparison with spontaneously conceived pregnancies is not detected by a difference in PBVV or TV at an early gestational age (GA). WHAT IS KNOWN ALREADY Assisted reproductive technology pregnancies have been associated with an increased risk of placenta-related adverse pregnancy outcomes. It is unclear whether these effects originate from infertility or from the technique itself. STUDY DESIGN, SIZE, DURATION We performed a retrospective cohort study in which 154 pregnant patients qualified for participation. PARTICIPANTS/MATERIALS, SETTING, METHODS Out of 154 pregnant patients, 84 conceived spontaneously and 70 conceived after IVF or IVF/ICSI. We determined the TV at 10 weeks GA by Virtual Organ Computer-aided AnaLysis measuring application and the PBVV at 12 weeks GA by the virtual reality operating system of BARCO I-Space in both subgroups. The investigators were blinded to the mode of conception during the measurements. Analysis was limited to singleton pregnancies with only one sac ever detectable. MAIN RESULTS AND THE ROLE OF CHANCE There were no differences in TV (mean 42.7, SD 15.9 versus mean 41.2, SD 13.9, P = 0.70) and PBVV (mean 27.6, SD 16.9 versus mean 24.8, SD 19.9, P = 0.20) between IVF or IVF/ICSI pregnancies and spontaneously conceived pregnancies. There was a significant correlation between TV and PBVV (rs = 0.283, P = 0.004). LIMITATIONS, REASONS FOR CAUTION The limitations of the present study concern the small size of the study groups. WIDER IMPLICATIONS OF THE FINDINGS IVF or IVF/ICSI does not seem to be associated with abnormal placentation. STUDY FUNDING/COMPETING INTEREST(S) This study was financially supported by the Erasmus Trustfonds, the Meindert de Hoop foundation and the Fonds NutsOhra. No competing interests are declared.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>25336709</pmid><doi>10.1093/humrep/deu273</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Blood Volume
Female
Fertilization in Vitro
Fetal Development
Humans
Placenta - blood supply
Placenta - diagnostic imaging
Placentation
Pregnancy
Pregnancy Trimester, First
Trophoblasts - diagnostic imaging
Ultrasonography
title First trimester trophoblast and placental bed vascular volume measurements in IVF or IVF/ICSI pregnancies
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