Effects of COVID-19 convalescence on pregnancy outcomes in frozen-thawed embryo transfer: A retrospective cohort study.

In this study, we aimed to examine whether frozen-thawed embryo transfer during the recovery period after coronavirus disease can affect treatment outcomes. This population-based retrospective cohort study included patients who underwent frozen-thawed embryo transfer in the first cycle and did not h...

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Main Authors: Liwen Shen, Xiaoqin Pan, Yurong Zhu, Luping Liu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0326155
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author Liwen Shen
Xiaoqin Pan
Yurong Zhu
Luping Liu
author_facet Liwen Shen
Xiaoqin Pan
Yurong Zhu
Luping Liu
author_sort Liwen Shen
collection DOAJ
description In this study, we aimed to examine whether frozen-thawed embryo transfer during the recovery period after coronavirus disease can affect treatment outcomes. This population-based retrospective cohort study included patients who underwent frozen-thawed embryo transfer in the first cycle and did not have a history of coronavirus disease (n = 355, control group) or recovered from coronavirus disease within 6 months (n = 185) or 6-12 months (n = 230). Univariate analysis was performed to determine significant associations between the baseline variables, frozen-thawed embryo transfer cycle characteristics, clinical pregnancy rates, ongoing pregnancy rates, and pregnancy complication rates. Variables with significant associations in the univariate analysis were included in the multivariate logistic regression analysis to identify the effect of baseline characteristics, frozen-thawed embryo transfer cycle characteristics, and history of coronavirus disease on clinical pregnancy, ongoing pregnancy, and pregnancy complication rates. Patients who recovered from coronavirus disease within 6 months were more likely to experience complications during pregnancy than control group patients (33.7% vs. 20.3%, p = 0.001). Multivariate logistic regression analysis confirmed that a history of coronavirus disease within 6 months (odds ratio: 2.34, 95% confidence interval: 1.93-4.58) was a risk factor for pregnancy complications; however, a history of coronavirus disease was not a risk factor for clinical pregnancy rate, ongoing pregnancy rate, human chorionic gonadotrophin positivity rate, abortion rate, or live birth rate. Frozen-thawed embryo transfer can be conventionally performed during the recovery period after coronavirus disease; however, enhanced monitoring and follow-up during pregnancy are necessary to ensure the safety of the entire pregnancy and delivery process.
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spelling doaj-art-166e7b17121c416a927e17e9920dcfa72025-08-20T03:29:03ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01207e032615510.1371/journal.pone.0326155Effects of COVID-19 convalescence on pregnancy outcomes in frozen-thawed embryo transfer: A retrospective cohort study.Liwen ShenXiaoqin PanYurong ZhuLuping LiuIn this study, we aimed to examine whether frozen-thawed embryo transfer during the recovery period after coronavirus disease can affect treatment outcomes. This population-based retrospective cohort study included patients who underwent frozen-thawed embryo transfer in the first cycle and did not have a history of coronavirus disease (n = 355, control group) or recovered from coronavirus disease within 6 months (n = 185) or 6-12 months (n = 230). Univariate analysis was performed to determine significant associations between the baseline variables, frozen-thawed embryo transfer cycle characteristics, clinical pregnancy rates, ongoing pregnancy rates, and pregnancy complication rates. Variables with significant associations in the univariate analysis were included in the multivariate logistic regression analysis to identify the effect of baseline characteristics, frozen-thawed embryo transfer cycle characteristics, and history of coronavirus disease on clinical pregnancy, ongoing pregnancy, and pregnancy complication rates. Patients who recovered from coronavirus disease within 6 months were more likely to experience complications during pregnancy than control group patients (33.7% vs. 20.3%, p = 0.001). Multivariate logistic regression analysis confirmed that a history of coronavirus disease within 6 months (odds ratio: 2.34, 95% confidence interval: 1.93-4.58) was a risk factor for pregnancy complications; however, a history of coronavirus disease was not a risk factor for clinical pregnancy rate, ongoing pregnancy rate, human chorionic gonadotrophin positivity rate, abortion rate, or live birth rate. Frozen-thawed embryo transfer can be conventionally performed during the recovery period after coronavirus disease; however, enhanced monitoring and follow-up during pregnancy are necessary to ensure the safety of the entire pregnancy and delivery process.https://doi.org/10.1371/journal.pone.0326155
spellingShingle Liwen Shen
Xiaoqin Pan
Yurong Zhu
Luping Liu
Effects of COVID-19 convalescence on pregnancy outcomes in frozen-thawed embryo transfer: A retrospective cohort study.
PLoS ONE
title Effects of COVID-19 convalescence on pregnancy outcomes in frozen-thawed embryo transfer: A retrospective cohort study.
title_full Effects of COVID-19 convalescence on pregnancy outcomes in frozen-thawed embryo transfer: A retrospective cohort study.
title_fullStr Effects of COVID-19 convalescence on pregnancy outcomes in frozen-thawed embryo transfer: A retrospective cohort study.
title_full_unstemmed Effects of COVID-19 convalescence on pregnancy outcomes in frozen-thawed embryo transfer: A retrospective cohort study.
title_short Effects of COVID-19 convalescence on pregnancy outcomes in frozen-thawed embryo transfer: A retrospective cohort study.
title_sort effects of covid 19 convalescence on pregnancy outcomes in frozen thawed embryo transfer a retrospective cohort study
url https://doi.org/10.1371/journal.pone.0326155
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AT yurongzhu effectsofcovid19convalescenceonpregnancyoutcomesinfrozenthawedembryotransferaretrospectivecohortstudy
AT lupingliu effectsofcovid19convalescenceonpregnancyoutcomesinfrozenthawedembryotransferaretrospectivecohortstudy