TABLE 1.
First trimester pregnancy loss by maternal characteristics in fresh and frozen autologous IVF cycles from 2007 to 2012.
Characteristic | No. of IUP | No. of first trimester losses (% of all pregnancies) | P value |
---|---|---|---|
Total | 249,630 | 37,445 (15) | |
Maternal age (y) at oocyte retrievala | < .0001 | ||
<30 | 43,163 | 4,213 (9.8) | |
30–34 | 96,198 | 10,814 (11.2) | |
35–37 | 55,856 | 8,186 (14.7) | |
38–40 | 39,131 | 8,606 (22.0) | |
>40 | 15,282 | 5,626 (36.8) | |
Race/ethnicityb | |||
Non-Hispanic white | 118,482 | 16,607 (14.0) | |
Non-Hispanic black | 9,735 | 1,802 (18.5) | |
Asian/Pacific Islander | 17,990 | 3,059 (17.0) | |
Hispanic | 14,003 | 2,160 (15.4) | |
Other | 345 | 55 (15.9) | |
Body mass index (kg/m2)b | |||
<20 | 22,751 | 3,175 (14.0) | |
20–24.9 | 91,686 | 13,071 (14.3) | |
25.0–29.9 | 44,007 | 6,763 (15.4) | |
≥30 | 32,176 | 5,630 (17.5) | |
No. of prior pregnanciesa | < .0001 | ||
0 | 110,062 | 14,503 (13.2) | |
1 | 70,686 | 10,865 (15.4) | |
≥2 | 68,203 | 11,998 (17.6) | |
No. of prior spontaneous | abortionsa | < .0001 | |
0 | 173,744 | 23,990 (13.8) | |
1 | 49,679 | 8,523 (17.2) | |
≥2 | 24,779 | 4,751 (19.2) | |
No. of prior birthsa | < .0001 | ||
0 | 173,692 | 25,594 (14.7) | |
1 | 58,250 | 8,911 (15.3) | |
≥2 | 16,572 | 2,776 (16.8) | |
No. of prior ART cyclesa | < .0001 | ||
0 | 126,941 | 16,448 (13.0) | |
1 | 62,975 | 10,178 (16.2) | |
≥2 | 59,673 | 10,812 (18.1) | |
Infertility diagnosis | |||
Male factora | < .0001 | ||
Yes | 101,683 | 14,301 (14.1) | |
No | 147,947 | 23,144 (15.6) | |
Ovulatory dysfunctiona | < .0001 | ||
Yes | 46,367 | 6,316 (13.6) | |
No | 203,263 | 21,129 (15.3) | |
Diminished ovarian reservea | < .0001 | ||
Yes | 35,615 | 7,834 (22.0) | |
No | 214,015 | 29,611 (13.8) | |
Endometriosisa | < .0001 | ||
Yes | 29,111 | 4,027 (13.8) | |
No | 220,519 | 33,418 (15.2) | |
Uterine factora | < .0001 | ||
Yes | 10,409 | 2,127 (20.4) | |
No | 239,221 | 35,318 (14.8) | |
Tubal factora | .5167 | ||
Yes | 40,685 | 6,156 (15.1) | |
No | 208,945 | 31,289 (15.0) | |
Other factora | < .0001 | ||
Yes | 27,171 | 4,603 (16.9) | |
No | 222,459 | 32,842 (14.8) | |
Unknown factora | .0019 | ||
Yes | 36,561 | 5,212 (14.3) | |
No | 213,069 | 32,233 (15.1) | |
Cycle typea | < .0001 | ||
Fresh | 203,970 | 29,199 (14.3) | |
Frozen | 45,660 | 8,246 (18.1) | |
No. of oocytes retrieveda,c | < .0001 | ||
<5 | 13,887 | 2,993 (21.6) | |
5–9 | 57,810 | 9,704 (16.8) | |
10–19 | 119,644 | 16,795 (14.0) | |
20–29 | 44,811 | 6,124 (13.7) | |
≥30 | 13,454 | 1,825 (13.6) | |
Ovarian hyperstimulation (fresh cycles only)a | < .0001 | ||
Yes | 2,956 | 275 (9.3) | |
No | 201,014 | 28,924 (14.4) | |
No. of embryos transferreda | < .0001 | ||
1 | 30,645 | 5,133 (16.8) | |
2 | 148,509 | 18,774 (12.6) | |
3 | 50,020 | 8,614 (17.2) | |
≥4 | 20,442 | 4,917 (24.1) | |
Use of intracytoplasmic sperm injectionc,d | .5679 | ||
Yes | 178,265 | 26,626 (14.9) | |
No | 65,246 | 9,848 (15.1) | |
Embryo stage at transferc,e | < .0001 | ||
Day 2/3 | 118,430 | 19,915 (16.8) | |
Day 5/6 | 119,784 | 15,645 (13.1) | |
Use of assisted hatchinga | < .0001 | ||
Yes | 94,374 | 17,472 (18.5) | |
No | 155,256 | 19,973 (12.9) | |
No. of supernumerary embryos cryopreserveda,c | < .0001 | ||
0 | 104,332 | 18,072 (17.3) | |
1–2 | 47,629 | 6,549 (13.8) | |
3–4 | 40,322 | 5,349 (13.3) | |
≥5 | 56,745 | 7,411 (13.1) | |
No. of fetal heartbeats on first ultrasounda | < .0001 | ||
0 | 16,592 | 15,832 (95.4) | |
1 | 157,723 | 19,025 (12.1) | |
2 | 67,754 | 1,762 (2.6) | |
≥3 | 6,785 | 122 (1.8) | |
Reporting yeara | .0006 | ||
2007 | 37,448 | 5,264 (14.1) | |
2008 | 41,308 | 6,167 (14.9) | |
2009 | 41,396 | 6,325 (15.3) | |
2010 | 42,151 | 6,273 (14.9) | |
2011 | 42,376 | 6,602 (15.6) | |
2012 | 44,951 | 6,814 (15.2) |
Note: ART = assisted reproductive technology; IUP = intrauterine pregnancy. Data are n (%) unless otherwise specified.
Missing <1%.
>20% missing, no statistical testing conducted due to large amount of unavailable data.
For frozen cycles included, data from original fresh cycles to which cycle is linked.
Missing 2.5%.
Missing 4.6%.