Diagnostic Ultrasonic Assessment of In Vitro Fertilization in Women in the period July 2010 to March 2011

Abstract

The aim of this study was to evaluate the IVF among Sudanese women and it ُ s outcome, depending on the utilization of ultrasound scanning. The study was carried out on 125 patients of infertility at Khartoum Fertility Center in Khartoum state in the 3 period from July 2010 to march 2011. The applied U\S system version was Fukuda Made in Japan (UF-850XTD) and the utilized Probes energies were 3.5 for abdominal scanning and 7 MHz for trans-vaginal scanning with enhancement of Gel as acoustic .coupling agent The collected variables were the infertility factors, age groups, ovulation, embryo transfer, pregnancy, fetal weight with correlation to BPD, FL, AC and IVF outcome. The analysis was carried out using EXCEL program and SPSS which in turn showed that: the common infertility factors in Sudan were uterine factor which represent 29.6%, Tubal disease 15.2%, Multiple factors 20%, Endometriosis 4.8%, unexplained factors representing 9.6% and male factors with 20.8%. The analysis of age revealed that the most successful age groups for ovulation were 28-30, 31-33 and 34-36 years taking a percent of 97.4%, 87.5% and 80% respectively, while the age groups of 37- 39, 40-42 and 43-45 years showing less percent of ovulation as 68.2%, 52.6% and 35.7% respectively. The high percent of embryo transfer ( ET) were found among younger women taking the percentage of 85.4% and 74.3% for the age groups of 28- 30 and 31-33 years old respectively then the percentage of ET decreases following the aging from 60.9% to 48%, 26.3% down to 14.3% for the age groups of 34-36, 37-39, .40-42 and 43-45 years old respectively The successful pregnancy of IFV occurred for the age groups of 28-30 and 31-33 with a percent of 56.8% and 50.8% respectively, then the pregnancy success decreases following the aging from 40.8 % to 21.5%, 10.5% to 0.0% for the ages of .34-36, 37-39, 40-42 down to 43-45 years old respectively 4 The study also found that the fetal weight of IVF technique significantly appears below the normal range of weight and the t-test showed that the significance (t. test) were at P= 0.01 for GA of 34 weeks, at P= 0.02 for GA of 35 weeks, at P= 0.04 for GA of 36 weeks, at P= 0.05 for GA of 37 weeks and the reduction of weight in .percent was 5.5%, 2.0%, 12.7% and 0.5% respectively Also the study revealed that there is linear increment relationship between the BPD, FL and AC versus the gestational age, and a linear increment relationship between the .BPD, FL and AC versus the fetal weight The study also showed that the general IVF outcome bear out with a single born .43.9% ,twins born represented 24.4% ,miscarriage 22.0% and triplet born was 9.8%