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Short-term medical complications of 1500 oocyte retrievals for in vitro fertilization and embryo transfer

par Govaerts, Isabelle;Devreker, Fabienne ;Delbaere, Anne ;Revelard, Philippe ;Englert, Yvon
Référence European journal of obstetrics, gynecology, and reproductive biology, 77, 2, page (239-243)
Publication Publié, 1998-04

Article révisé par les pairs

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Résumé :

Objective: to evaluate the different short-term complications after in vitro fertilization and embryo transfer. Design: a retrospective study on 7 years in the fertility clinic of an university hospital. Materials and methods: short-term medical complications were analysed after 1500 transvaginal ultrasonographically guided oocyte retrievals. Results: ovarian hyperstimulation syndrome (1.8%), pelvic infections (0.4%), intraperitoneal bleeding (0.2%) and adnexal torsions (0.13%) were observed. One case of adnexal torsion occurred during pregnancy (0.18%). Two unusual case of bowel endometriosis were encountered (0.13%). Conclusions: short-term medical complications after in vitro fertilization and embryo transfer are rare (2.8%). This contrast with the high rate of multifetal pregnancies which increases maternal and perinatal morbidity and mortality and must be considered as the major complication of in vitro fertilization treatment.