Journal of International Reproductive Health/Family Planning ›› 2013, Vol. 32 ›› Issue (1): 9-12.

• 论著 • Previous Articles     Next Articles

Prediction of Pregnancy Outcome by Serum β-hCG and Progesterone on the Fourteenth Day After IVF-ET

LI Yan,XIANG Yun-gai,ZHANG Mei,MA Li-ying,TAN Li,ZHAO Dong-mei   

  1. Center of Reproductive Medicine,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-01-15 Online:2013-01-15
  • Contact: TAN Li

Abstract: Objective:To investigate the predictive value of serum β-hCG and progesterone (P4) for the early pregnancy outcome on the fourteenth day after in vitro fertilization and embryo transfer (IVF-ET). Methods:The levels of serum β-HCG and P4 of 554 patients treated with IVF/introcytoplasm sperm injection (ICSI) in our center from April 2010 to November 2011 were analyzed retrospectively. Patients were divided into the normal pregnancy group,the abnormal pregnancy group and the non-pregnant group. The normal pregnancy included single pregnancy and multiple pregnancy. The abnormal pregnancy included early pregnancy miscarriage,ectopic pregnancy and biochemical pregnancy. The differences of β-hCG and P4 among groups were compared. Results:①The level of serum β-hCG in the normal pregnancy group was higher than those in the early abortion/ectopic pregnancy group,the biochemical pregnancy group and non-pregnant group(P<0.05). There was no statistical differences of β-hCG between the early abortion group and ectopic pregnancy group(P>0.05). ②The level of serum P4 in the normal pregnancy group was higher than those in the abnormal pregnancy group and the non-pregnant group (P<0.05), while the level in the multiple pregnancy group was significantly higher than that in the singleton pregnancy group (P<0.05). ③When the level of β-hCG of single test was>197.27 IU/L, the possibility of normal pregnancy was 88.9%. When the level of β-hCG of single test was>613.94 IU/L,there were a better pregnancy outcome and a higher possibility of multiple pregnancy. Conclusions:Serum β-hCG and progesterone on the fourteenth day after transplantation can be used as the good combined markers of early pregnancy outcome of IVF-ET.

Key words: Fertilization in vitro, Embryo transfer, Pregnancy outcome, Chorionic gonadotropin, Progestins