Objective: To study contraception among women aged 35 and over at the University Hospital of Brazzaville. Population and Methods: This was a retrospective descriptive study, conducted from April 1st 2017 to January 31...Objective: To study contraception among women aged 35 and over at the University Hospital of Brazzaville. Population and Methods: This was a retrospective descriptive study, conducted from April 1st 2017 to January 31st 2022 in the Obstetrics and Gynecology Department of the University Hospital of Brazzaville, including women aged 35 years and over who had received a contraceptive method. The study variables were sociodemographic, reproductive, clinical and contraceptive method related. Results: Two hundred and thirty customers were collected during the study period, i.e., 10.8% of the patients who received contraception. They were 38.4 ± 3 years old on average, had secondary education (46.1%), were of low socioeconomic status (54.3%), lived with a partner (98.7%) and came from an urban area (97.4%). They were multigravida (85.2%), and multiparous (63.9%) with an average of 4 living children. The indications were of two types: convenience (26.2%) and medical (73.8%). The most commonly used contraceptives were implants (72.2%) and injectable progestin (20.5%). Conclusion: The indication for contraception for women over 35 years of age at the University Hospital Center of Brazzaville is more medical, with the use of long-acting contraceptives.展开更多
Background:To investigate the factors associating with the cumulative clinical pregnancy outcome of in vitro fertilization-embryo transfer(IVF-ET)in women aged 35 years and older with normal ovarian reserve.Methods:A ...Background:To investigate the factors associating with the cumulative clinical pregnancy outcome of in vitro fertilization-embryo transfer(IVF-ET)in women aged 35 years and older with normal ovarian reserve.Methods:A total of 358 patients undergoing IVF-ET at the Department of Reproductive Medicine,the First Affiliated Hospital of Xinjiang Medical University between January 2014 and June 2016 were analyzed by the Kaplan-Meier method and Cox proportional hazards model.Results:The probability of pregnancy in women 35-37 years of age and 38-40 years of age was 75.9%(95%confidence interval[CI]:75.1%-76.7%)and 66.9%(95%CI:65.6%-68.2%),respectively,and it was 37.8%(95%CI:34.7%-41.1%)in women aged 40 years and older.Univariate analysis(hazard ratio[HR]:2.50,95%CI:1.647-3.774)and multivariate analysis(HR:2.17,95%CI:1.427-3.268)showed a correlation between the number of retrieved oocytes and successful pregnancy.Conclusions:The number of retrieved oocytes plays a key role in the pregnancy outcome of women aged 35 years and older with normal ovarian reserve.We recommend the number of retrieved oocytes be increased for women aged 35 years and older with normal ovarian reserve.展开更多
文摘Objective: To study contraception among women aged 35 and over at the University Hospital of Brazzaville. Population and Methods: This was a retrospective descriptive study, conducted from April 1st 2017 to January 31st 2022 in the Obstetrics and Gynecology Department of the University Hospital of Brazzaville, including women aged 35 years and over who had received a contraceptive method. The study variables were sociodemographic, reproductive, clinical and contraceptive method related. Results: Two hundred and thirty customers were collected during the study period, i.e., 10.8% of the patients who received contraception. They were 38.4 ± 3 years old on average, had secondary education (46.1%), were of low socioeconomic status (54.3%), lived with a partner (98.7%) and came from an urban area (97.4%). They were multigravida (85.2%), and multiparous (63.9%) with an average of 4 living children. The indications were of two types: convenience (26.2%) and medical (73.8%). The most commonly used contraceptives were implants (72.2%) and injectable progestin (20.5%). Conclusion: The indication for contraception for women over 35 years of age at the University Hospital Center of Brazzaville is more medical, with the use of long-acting contraceptives.
文摘Background:To investigate the factors associating with the cumulative clinical pregnancy outcome of in vitro fertilization-embryo transfer(IVF-ET)in women aged 35 years and older with normal ovarian reserve.Methods:A total of 358 patients undergoing IVF-ET at the Department of Reproductive Medicine,the First Affiliated Hospital of Xinjiang Medical University between January 2014 and June 2016 were analyzed by the Kaplan-Meier method and Cox proportional hazards model.Results:The probability of pregnancy in women 35-37 years of age and 38-40 years of age was 75.9%(95%confidence interval[CI]:75.1%-76.7%)and 66.9%(95%CI:65.6%-68.2%),respectively,and it was 37.8%(95%CI:34.7%-41.1%)in women aged 40 years and older.Univariate analysis(hazard ratio[HR]:2.50,95%CI:1.647-3.774)and multivariate analysis(HR:2.17,95%CI:1.427-3.268)showed a correlation between the number of retrieved oocytes and successful pregnancy.Conclusions:The number of retrieved oocytes plays a key role in the pregnancy outcome of women aged 35 years and older with normal ovarian reserve.We recommend the number of retrieved oocytes be increased for women aged 35 years and older with normal ovarian reserve.
