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. 2021 Mar 3;2021(1):hoab004. doi: 10.1093/hropen/hoab004

Table II.

Effect of HA on pregnancy outcomes.a

Outcome Cohort Number (%) ORa (95% CI) P a
LBEb Low HA 224 (22.0%) Reference
Long HA exposure 341 (28.5%) 1.26 (1.02:1.55) 0.029
Short HA exposure 391 (33.3%) 1.28 (0.97:1.67) 0.078
HA pooled effect 732 (30.8%) 1.26 (1.03:1.54) 0.023
Multiple birthc Low HA 43 (4.2%) Reference
Long HA exposure 66 (5.5%) 1.08 (0.71:1.64) 0.73
Short HA exposure 80 (6.8%) 0.95 (0.56:1.60) 0.84
HA pooled effect 146 (6.2%) 1.04 (0.69:1.57) 0.84
Biochemical pregnancyd Low HA 337 (33.1%) Reference
Long HA exposure 447 (37.3%) 1.08 (0.90:1.31) 0.39
Short HA exposure 519 (44.2%) 1.20 (0.94:1.54) 0.15
HA pooled effect 966 (40.7%) 1.11 (0.93:1.33) 0.26
Clinical pregnancye Low HA 252 (24.8%) Reference
Long HA exposure 368 (30.7%) 1.21 (0.99:1.48) 0.059
Short HA exposure 434 (36.9%) 1.32 (1.02:1.72) 0.036
HA pooled effect 802 (33.8%) 1.24 (1.02:1.50) 0.031
Early pregnancy lossf Low HA 85 (8.3%) Reference
Long HA exposure 78 (6.5%) 0.76 (0.54:1.06) 0.11
Short HA exposure 85 (7.2%) 0.84 (0.54:1.30) 0.42
HA pooled effect 163 (6.9%) 0.78 (0.57:1.07) 0.12
Late miscarriageg Low HA 28 (2.8%) Reference
Long HA exposure 28 (2.3%) 0.88 (0.51:1.53) 0.65
Short HA exposure 40 (3.4%) 1.41 (0.72:2.77) 0.31
HA pooled effect 68 (2.9%) 1.00 (0.60:1.67) 0.99

The data show clinical outcomes following ET procedures and the effects of long and short exposures to HA-rich culture medium (EmbryoGlue®).

a

Adjusted LBE, multiple births, biochemical pregnancy, clinical pregnancy, early pregnancy loss and late miscarriage.

b

Deliveries that resulted in at least one baby.

c

Deliveries with more than one baby.

d

Positive βhCG test without a pregnancy on ultrasound scan, 3 weeks post-ET.

e

Pregnancies confirmed by ultrasound scan with the presence of a gestational sac and a foetal heartbeat at 12 6/7 weeks.

f

Losses occurring up to 13 weeks of gestation.

g

Losses between 14 and 24 weeks of gestation.

HA, hyaluronic acid; LBE, live birth event; OR, odds ratio.