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master's thesis
Liječenje neplodnosti u reprodukcijski starijih žena
diplomski rad
2023. urn:nbn:hr:184:768056
Brijačak, Laura
University of Rijeka
Faculty of Medicine
Department of Gynaecology and Obstetrics

Cite this document

Brijačak, L. (2023). Liječenje neplodnosti u reprodukcijski starijih žena : diplomski rad (Master's thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:768056

Brijačak, Laura. "Liječenje neplodnosti u reprodukcijski starijih žena : diplomski rad." Master's thesis, University of Rijeka, Faculty of Medicine, 2023. https://urn.nsk.hr/urn:nbn:hr:184:768056

Brijačak, Laura. "Liječenje neplodnosti u reprodukcijski starijih žena : diplomski rad." Master's thesis, University of Rijeka, Faculty of Medicine, 2023. https://urn.nsk.hr/urn:nbn:hr:184:768056

Brijačak, L. (2023). 'Liječenje neplodnosti u reprodukcijski starijih žena : diplomski rad', Master's thesis, University of Rijeka, Faculty of Medicine, accessed 18 December 2024, https://urn.nsk.hr/urn:nbn:hr:184:768056

Brijačak L. Liječenje neplodnosti u reprodukcijski starijih žena : diplomski rad [Master's thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2023 [cited 2024 December 18] Available at: https://urn.nsk.hr/urn:nbn:hr:184:768056

L. Brijačak, "Liječenje neplodnosti u reprodukcijski starijih žena : diplomski rad", Master's thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2023. Available at: https://urn.nsk.hr/urn:nbn:hr:184:768056

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Metadata
TitleLiječenje neplodnosti u reprodukcijski starijih žena : diplomski rad
Title (english)Infertility treatment in reproductive aged women
AuthorLaura Brijačak
MentorNeda Smiljan Severinski (mentor)
Committee memberTea Štimac (predsjednik povjerenstva)
Committee memberMarko Klarić (član povjerenstva)
Committee memberUlla Marton (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Medicine
(Department of Gynaecology and Obstetrics)
Rijeka
Defense date and country2023, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract
Istraživanje obuhvaća analizu medicinske dokumentacije pacijentica s problemima neplodnosti u KBC-u Rijeka tijekom 2021. godine. Analizirani su ishodi liječenja postupkom in vitro fertilizacije: ukupno 93 prirodna IVF ciklusa u 80 pacijentica, te 168 klasično stimuliranih IVF ciklusa u 142 pacijentice. Analiza prirodnih IVF ciklusa pokazala je sličan udio začetih trudnoća obje dobne skupine, (12% i 13%), ali veći udio spontanih pobačaja u starijoj dobnoj skupini od 40 godina (8%). Ovi rezultati dokazuju mogućnost začeća u ciklusima bez hormonske stimulacije jajnika, ali istovremeno ukazuju na važnost odabira pacijentica radi poboljšanja ishoda. Klasični IVF ciklus uključuje postupak hormonske stimulacije jajnika kako bi se dobilo više jajnih stanica istovremeno. Rezultati ovog liječenja su najbolji s udjelom trudnoća 19% i 20% u obje dobne skupine i s najvećim udjelom živorođene djece (18%), ali u mlađih pacijentica dobi 35 – 39 godina. Učestalost spontanih pobačaja u klasičnom IVF ciklusu bila je najmanja (1%) u mlađoj dobnoj skupini od 35 do 39 godina, ali značajno veća (8%) u dobnoj skupini od 40 do 45 godina.
Abstract (english)
The research includes an analysis of the medical documentation of patients with infertility problems at KBC Rijeka during 2021. The results of the in vitro fertilization treatment were analyzed: a total of 93 natural IVF cycles in 80 patients, and 168 classically stimulated IVF cycles in 142 patients. Analysis of natural IVF cycles showed a similar proportion of conceived pregnancies in both age groups (12% and 13%), but a higher proportion of spontaneous abortions in the older age group of 40 years (8%). These results prove the possibility of conception in cycles without hormonal stimulation of the ovaries, but at the same time indicate the importance of patient selection in order to improve the outcome. The classic IVF cycle includes the procedure of hormonal stimulation of the ovaries in order to obtain more eggs at the same time. The results of this treatment are the best with a pregnancy rate of 19% and 20% in both age groups and with the highest proportion of live births (18%), but in younger patients aged 35 – 39 years. The frequency of spontaneous abortions in the classical IVF cycle was the lowest (1%) in the younger age group of 35 to 39 years, but significantly higher (8%) in the age group of 40 to 45 years.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:768056
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2023-07-11 13:26:25