• Rev Assoc Med Bras (1992) · Jan 2024

    Comparative Study

    Comparison of obstetric and perinatal complications in intracytoplasmic sperm injection cycles with autologous oocytes and donated oocytes.

    • Valéria Cristina Datrino Horta, Renato Augusto Moreira de Sá, Marco Antônio Pessanha Lourenço, Raphael Datrino Horta, Rodrigo Datrino Horta, Luiz Guilherme Louzada Maldonado, Alberto Borges Peixoto, and Edward Araujo Júnior.
    • Fluminense Federal University, Department of Obstetrics - Niteroi (RJ), Brazil.
    • Rev Assoc Med Bras (1992). 2024 Jan 1; 70 (8): e20240357e20240357.

    ObjectiveThe aim of this study was to compare the obstetric and perinatal complications in women who became pregnant with autologous oocytes and those who received donated oocytes (DO) in intracytoplasmic sperm injection cycles (ICSI).MethodsA retrospective cohort study was carried out by collecting data from medical records between 2019 and 2022. Only patients who underwent ICSI in an induced cycle using their own or freshly DO, with male infertility factor and tubal factor, were included.ResultsA total of 120 patients were assessed, comprising 51 cases utilizing their own oocytes (control group) and 69 cases employing DO (study group). Patients receiving DO (n=69) exhibited a significantly higher mean age compared to those utilizing their own oocytes (n=51) (41.96±2.16 vs 38.54±1.42 years, p<0.001). There was no significant association between the source of oocytes and gestational age at delivery (p=0.296), birth weight (p=0.836), admission to neonatal intensive care unit (ICU) (p=0.120), or maternal admission to adult ICU (p=0.767). Additionally, the origin of oocytes did not demonstrate any significant association with the risk of pre-eclampsia (p=0.357), gestational diabetes mellitus (p=0.187), premature rupture of membranes (p=0.996), uterine atony (p=0.996), placenta previa (p=0.393), oligohydramnios (p=0.393), or gestational hypertension (p=0.393)."ConclusionAn increase in obstetric and perinatal complications was not observed in pregnancies with DO compared to pregnancies with autologous oocytes in women undergoing ICSI without prior comorbidities. Further studies with larger sample sizes are required to validate our findings.

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