Microbial colonization of human follicular fluid and adverse outcome on in vitro fertilization cases in Kamal al-Samarrai's Hospital for fertility and In vitro fertilization treatment in Baghdad, Iraq 2016
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
Background: There are various assisted reproductive technologies such as in vitro fertilization for treatment of infertility, So IVF culture system is not a sterile system. Not only is the environment we work in full of bacteria, fungi and viruses, but our patient’s bodies (follicular aspirates, semen and the vaginal and cervical regions for egg retrieval and embryo transfer) also contain microbes, this can lead to adverse pregnancy outcome after IVF. Objectives: To demonstrated differences in women with colonized and contaminated follicular fluid and estimate the prevalence of the possible risk factors for developing microbial colonization of the follicular fluid. Methodology: A cross sectional study was conducted during the period from 1st of June 2015 to 30th of March 2016 in Kamal al-Samarrai's Hospital for fertility and IVF treatment in the Baghdad city. A purposive sampling technique was used to collect data, there were 106 women underwent in vitro fertilization that were consented and interviewed directly, using a questionnaire form prepared for the study as well as reviewing their medical records. From each woman who underwent in vitro fertilization and had a pregnancy test positive, two samples (High vaginal swab and Follicular fluid sample)were collected at the time of oocyte retrieval and sent to the hospital laboratory for culture, then the patients had been followed by phone or when they come to outpatient clinic at the end of their first trimester, for 1st trimester outcome to identify if the female is still pregnant or had abortion. A descriptive statistics (frequency and percentages tables, pie and bar charts) and inferential statistics (A chi square or Fisher Exact test and T test) were used for data analysis. Results: A total of 106 studied pregnant women underwent in vitro fertilization, 57(54%) women got abortion at their first trimester; women who had colonized follicular fluid 95.2% got abortion at their 1st trimester. There was a significant association between follicular fluid colonization and residence, secondary infertility. First trimester abortion, tend to occur more in women who live in rural areas, who had history of secondary infertility, women who underwent ovulation induction. The most common cause of infertility was endometriosis 34.9%followed by PCOS 27.3%, genital tract infection 25.4%, male factor 7.5%, idiopathic 4.7%. Culture analyses revealed that cultivable bacterial species were present in 21(45.7%)of follicular fluids tested, Lactobacillus and staphylococcus comprised 8(38.1%) respectively; other bacteria comprised 44.4%, 4.8% which include streptococcus, Actinomyces respectively. No single species tend to be associated more with first trimester abortion. Conclusions : The women who had colonized follicular fluid tend to get abortion at their first trimester more than women whose follicular fluid categorized as contaminated. No single species of bacteria tend to associated more with first trimester abortion. Women may benefit from microbial screening of vaginal swabs prior to IVF cycle, to detect microorganisms or by culturing the follicular fluid collected at the time of transvaginal oocyte retrieval for the presence of microorganisms. Treatment with antimicrobials may increase IVF treatment success.
Authors and Affiliations
lnas Taha A. Hamad, Arkan T. Ahmed, Salema Mohamed Sadeq, Baydaa Ismaeel
Keywords
Related Articles
- EP ID EP374931
- DOI 10.9790/0853-1705098087.
- Views 74
- Downloads 0
Prevalence of Hepatitis C virus among voluntary blood donors of a blood bank in a mixed urban-rural setting in West Bengal, India
Background: Over 12 Million Indians Are Afflicted With Chronic Hepatitis C Infection, Says WHO. Prevalence Of HCV In Healthy Blood Donors Represents Prevalence Of Carrier State In The Population. High Rate Of Anti-HCV An...
A Case of Alcohol Induced Peripheral Neuropathy with Bilateral Sensory-Neural Hearing Loss
Our patient, a 32 years old male presented with chief complains of progressive bilateral hearing loss since last 8 months, burning and tingling sensation (paresthesia) in bilateral lower limbs and difficulty in walking g...
Evaluation of Dose Dependent Changes in Flow Rate, Ph, Total Protein and Alpha Amylase Content of Whole Saliva in Patients Undergoing Head and Neck Radiation.
Objective:The aim of the study was to estimateand evaluate the dose dependent changes in the salivary flow rate, pH, level of total protein, and αamylase during the course of radiotherapy in oropharyngeal cancer patients...
Cytological Evaluation of Thyroid Lesions and its Correlation with Histopathology: A Study in a Rural Tertiary Care Hospital, Konkan belt of Maharashtra, India.Cytological Evaluation of Thyroid Lesions and its Correlation with Histopathology: A Study in a Rural Tertiary Care Hospital, Konkan belt of Maharashtra, India.
Background: Thyroid diseases are common problem of enormous magnitude now a day all over the world. And it is necessary in the clinical practice is to distinguish reliably the few malignant thyroid tumors from the harmle...
Prosthodontic Rehabilitation of Maxillary Anterior Ridge Defect With Fixed - Removable Bridge System: A Case Report
It has been well documented that anterior ridge defects present in a patient are challenging to treat (especially aesthetically).To treat such defects when edentulous anterior portion of maxillary ridge has both inadequa...