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Improvement in pregnancy rate by removal of cervical discharge prior to embryo transfer in ICSI cycles: A randomised clinical trial
Author(s) -
MOINI Ashraf,
KIANI Kiandokht,
BAHMANABADI Akram,
AKHOOND Mohammadreza,
AKHLAGHI Aliasghar
Publication year - 2011
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.2011.01318.x
Subject(s) - embryo transfer , medicine , obstetrics , pregnancy rate , pregnancy , randomized controlled trial , gynecology , surgery , biology , genetics
Aims: The present study aimed to evaluate the effect of removing cervical discharge prior to embryo transfer (ET) on pregnancy rates. Methods: Five hundred and thirty women who were candidates for fresh ET in intracytoplasmic sperm injection (ICSI) cycles were randomly allocated to intervention or control groups. In the intervention group, the cervical canal was cleansed using sterile cotton swabs prior to ET. The control group had routine ET. Multiple logistic regression analysis was used to estimate the adjusted effect of removing the cervical discharge on pregnancy rates. Results: There was a significant difference in pregnancy rates between the two groups. The clinical pregnancy rate was 104/265 (39.2%) in the intervention group compared with 60/265 (22.6%) in the control group ( P < 0.001). The intervention group also had a higher implantation rate (20.5%) compared with the control group (12.2%; P < 0.001). Additionally, the live birth rate in the intervention group (33.6%) was significantly higher than in the control group (17.4%; P < 0.001). The logistic regression analysis indicated that the odds ratio of pregnancy in the intervention group was 2.297 (95% CI, 1.552–3.399) compared with the control group. Conclusions: Removal of cervical discharge prior to ET may have a significant effect on the rate of implantation, pregnancy and live birth.