View Article |
Successful implantation via in Vitro Fertilization (IVF) in Hospital Wanita Kanak-Kanak Sabah: single centre experience
Dg Marshitah Pg Baharuddin1, Hatta Tarmizi2, Nathira Abdul Majed3, Sardiana Sarmidi4, Rahmatia Ibrahim5, Sabilah Mohd Tahir6, Mohd Azmi Samsuddin7, Nadirah Sulaiman8.
Introduction: Implantation is one of critical step in human reproductive processes. There are many factors that affect successful implantation. Good quality embryo or blastocyst is a prerequisite to successful implantation together with a receptive endometrium. The purpose of this study is to describe the patient clinical profile and to investigate the factors of interest association with implantation status. Methods: This is a cross sectional study involving patients planned for in vitro fertilization (IVF) treatment in the hospital infertility clinic. All demographic data and clinical profile data of the patient in each visit was recorded. Among the data taken were, physical examination data, patient history, causes of infertility, hormonal investigation and outcome at the end of treatment (presence of fetal heart). Successful implantation is indicated by presence of fetal heart. Results: A total of 246 patients record were collected. Mean age of the patient was 34.2 (SD = 4.12) years old. Mean BMI was 24.5 kg/m2 (SD=4.70). Mean of infertility years among the patients was 5.9 years (SD= 3.40). Most cause of infertility was tubal issues 87 cases (35.4%). The prevalence of successful implantation was 12.8% ((95% CI 7.8%, 17.8%). None of the factors of interest (age, BMI, infertility duration, progesterone at baseline, progesterone at trigger day) were found associated with successful implantation. Out of 224 patients, 53 (21.5%) were having elevated progesterone level at trigger day. However, in this study, there is no conclusive evidence that level of progesterone is associated with successful implantation. Conclusion: The successful implantation in our setting is approximately 1/10 of IVF treatment. Implantation involved a complex mechanism, thus there is wide variety of etiologies to predict for successful implantation. Thus, further study on wide comprehensive of risk factors is warranted.
Affiliation:
- Universiti Malaysia Sabah, Malaysia
- Hospital Wanita dan Kanak-kanak Sabah, Kota Kinabalu, Sabah, Malaysia
- Hospital Wanita dan Kanak-kanak Sabah, Kota Kinabalu, Sabah, Malaysia
- Hospital Wanita dan Kanak-kanak Sabah, Kota Kinabalu, Sabah, Malaysia
- Hospital Wanita dan Kanak-kanak Sabah, Kota Kinabalu, Sabah, Malaysia
- Hospital Wanita dan Kanak-kanak Sabah, Kota Kinabalu, Sabah, Malaysia
- Hospital Wanita dan Kanak-kanak Sabah, Kota Kinabalu, Sabah, Malaysia
- Queen Elizabeth Hospital (Malaysia), Malaysia
|
|
Indexation |
Indexed by |
MyJurnal (2021) |
H-Index
|
3 |
Immediacy Index
|
0.000 |
Rank |
0 |
Indexed by |
Scopus 2020 |
Impact Factor
|
CiteScore (0.2) |
Rank |
Q4 (Medicine (all)) |
Additional Information |
SJR (0.144) |
|
|
|