Infertility, Tuberculosis
Conditions
Keywords
infertility, IVF-ET, old tuberculosis, pregnancy outcome, latent tuberculosis infection
Brief summary
This study evaluate the effect of latent infection of tuberculosis on the pregnancy outcome of IVF-ET in infertile patients with radiographic lesions suggesting old healed tuberculosis
Detailed description
China is one of the countries with high burden of tuberculosis (TB) defined by WHO. IVF-ET is an effective method to treat infertility. Chest X-ray is a routine examination before IVF-ET, which can exclude active tuberculosis. However, for patients with chest X-ray showing old healed tuberculosis, the relationship between latent tuberculosis infection (LTBI) and pregnancy outcomes is unknown. In this study, a prospective cohort study was carried out in infertile women who were planning to receive IVF-ET. IGRA were tested in patients with old tuberculosis in chest X-ray. A cohort of IGRA positive and IGRA negative was constructed. The pregnancy outcomes were followed up prospectively and the relationship between latent infection of tuberculosis and pregnancy outcomes was analyzed. The primary outcome was clinical pregnancy rate, miscarriage rate and live birth rate. Secondary outcomes were tuberculosis reactivation during pregnancy period and in 3 months after delivery.
Interventions
This is a observation study, with no intervention
Sponsors
Study design
Eligibility
Inclusion criteria
* The patients who referred to the reproductive center for IVF-ET * Chest radiography showed old healed tuberculosis
Exclusion criteria
* active tuberculosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| clinical pregnancy rate | 30 days after the ET procedure | Clinical pregnancy was defined as the observation of a gestational sac on ultrasonography. The clinical pregnancy rate was defined as clinical pregnancy per embryo transfer. |
| miscarriage rate | 40 weeks after the ET procedure | Miscarriage was defined as a pregnancy loss before 28 weeks of gestation (calculated among women who became pregnant). The miscarriage rate was defined as miscarriages per clinical pregnancy. |
| live birth rate | 40 weeks after the ET procedure | Live birth was defined as delivery of a living foetus (or living foetuses) beyond 28 weeks of gestation. The live birth rate was defined as live birth per embryo transfer. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| tuberculosis reactivation | 40 weeks after the ET procedure | tuberculosis during pregnancy period and in 3 months after delivery |
Countries
China