title: Effect of dalteparin sodium administration on IVF outcome in non-thrombophilic young women: a pilot study.
abstract: This study evaluated whether heparin administration could affect IVF outcome. A total of 172 women, aged <40years, without laboratory findings of thrombophilia and undergoing their first IVF cycle, were randomly allocated to treatment (n=86) and control (n=86) groups. Patients allocated to the treatment group received low-molecular-weight heparin dalteparin sodium 2500IU s.c. daily, in addition to routine luteal phase support, from oocyte retrieval up to the day of the pregnancy test or up to the ninth week of pregnancy in the cases of positive human chorionic gonadotrophin. From the day after the oocyte retrieval, all patients began standard supplementation with vaginal progesterone 200mg twice a day. At the sixth week of pregnancy, patients underwent an ultrasound scan to assess the number/viability of gestational sacs. Implantation rates were 15% and 12% in the dalteparin and control groups, respectively. The clinical pregnancy rates/embryo transfers were 26% (19/73) and 20% (16/80), in the dalteparin and control groups, respectively, with live birth rates/embryo transfer of 21% (15/73) and 16% (13/80). Despite the lack of statistical significance, the increase in pregnancies observed in the treatment group may be considered as an important clinical point in the optimization of IVF clinical outcome.
authors.affiliation: Department of Sciences for Women's and Child's Health, Division of Obstetrics and Gynecology, University of Florence, Viale Morgagni 85, Florence, Italy. ivo.noci@unifi.it
authors.forename: Ivo
authors.initials: I
authors.lastname: Noci
authors.forename: Maria Novella
authors.initials: MN
authors.lastname: Milanini
authors.forename: Maria
authors.initials: M
authors.lastname: Ruggiero
authors.forename: Francesca
authors.initials: F
authors.lastname: Papini
authors.forename: Beatrice
authors.initials: B
authors.lastname: Fuzzi
authors.forename: Paolo Giovanni
authors.initials: PG
authors.lastname: Artini
mesh_terms: D000328:Adult; D017985:Dalteparin / Q000494:pharmacology*; D010064:Embryo Implantation / Q000187:drug effects; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D010062:Ovulation Induction; D010865:Pilot Projects; D011247:Pregnancy; D018873:Pregnancy Rate; D016896:Treatment Outcome
chemical_list: D017985:Dalteparin