Objective:To explore the related factors affecting the pregnancy outcomes of intrauterine insemination and to establish a predictive model.Methods:The clinical data of 2 035 cycles of artificial insemination by husband sperm in Reproductive Center of Henan Provincial People's Hospital from January 2017 to December 2020 were retrospectively analyzed. According to the treatment time, they were divided into training sets (75%, n=1 526) and validation sets (25%, n=509). Univariate analysis and multivariate logistic regression were used to analyze the related factors affecting the clinical pregnancy rate, and a predictive model of clinical pregnancy rate was established according to the results of multivariate logistic regression analysis. Results:Univariate and multivariate logistic regression analysis showed that pregnancy rate of women aged ≥37 years decreased ( OR=0.48, 95% CI: 0.22-1.06, P=0.071), the pregnancy rate decreased with the decrease of anti-Müllreian hormone (AMH, OR=1.05, 95% CI: 1.01-1.09, P=0.028), the clinical pregnancy rate of infertility duration ≥5 years decreased ( OR=0.61, 95% CI: 0.38-0.97, P=0.037), the clinical pregnancy rate was high in the stimulation cycle ( OR=1.64, 95% CI: 1.18-2.27, P=0.003). Based on the above four influencing factors, the nomogram prediction model was established, and an area under the curve (AUC) was 0.62, and the model prediction ability was moderate. Conclusion:The clinical pregnancy rate was higher in women with maternal age <37 years, high level of AMH, infertility duration <5 years and ovulation induction. The established prediction model can predict the clinical pregnancy probability of patients and can be used as a reference for clinicians.

Objective:To explore the related factors affecting the pregnancy outcomes of intrauterine insemination and to establish a predictive model.Methods:The clinical data of 2 035 cycles of artificial insemination by husband sperm in Reproductive Center of Henan Provincial People's Hospital from January 2017 to December 2020 were retrospectively analyzed. According to the treatment time, they were divided into training sets (75%, n=1 526) and validation sets (25%, n=509). Univariate analysis and multivariate logistic regression were used to analyze the related factors affecting the clinical pregnancy rate, and a predictive model of clinical pregnancy rate was established according to the results of multivariate logistic regression analysis. Results:Univariate and multivariate logistic regression analysis showed that pregnancy rate of women aged ≥37 years decreased ( OR=0.48, 95% CI: 0.22-1.06, P=0.071), the pregnancy rate decreased with the decrease of anti-Müllreian hormone (AMH, OR=1.05, 95% CI: 1.01-1.09, P=0.028), the clinical pregnancy rate of infertility duration ≥5 years decreased ( OR=0.61, 95% CI: 0.38-0.97, P=0.037), the clinical pregnancy rate was high in the stimulation cycle ( OR=1.64, 95% CI: 1.18-2.27, P=0.003). Based on the above four influencing factors, the nomogram prediction model was established, and an area under the curve (AUC) was 0.62, and the model prediction ability was moderate. Conclusion:The clinical pregnancy rate was higher in women with maternal age <37 years, high level of AMH, infertility duration <5 years and ovulation induction. The established prediction model can predict the clinical pregnancy probability of patients and can be used as a reference for clinicians.

【Objective】 To analyze and master the serological and genetic characteristics of the samples with CisAB subtype and their genetic background. 【Methods】 From January 2018 to January 2022, blood samples with discrepant ABO blood typing results, from Zhengzhou voluntary blood donors and hospital patients, were subjected to phenotypic classification using micro column gel card and tube method, as well as amplification of exons 6 and 7 in ABO gene using PCR. The pedigrees of individuals with the same CisAB subtype but different serological typing results in the same family were analyzed. 【Results】 11 The forward typing of 12 samples was AB type, and unexpected antibodies against weaker antigens were found in 11 serum samples, including 9 cases with strong antigen A, 2 cases with strong antigen B, and 1 case with consistent forward and reverse typing results. Gene sequencing confirmed that 11 cases were CisAB01 subtype and 1 case was CisAB05 subtype.Among them, 7 cases had the genotype of CisAB01/O and serological phenotype of A2B3; 2 cases had the genotype of CisAB01/B and phenotype of A2B; 2 cases had the genotype of CisAB01/A and serological phenotype of A1Bx and A1B3; 1 case had the phenotype of AxB. In the CisAB01 family, 1 case of CisAB01/O with A2B3 phenotype and 1 case of CisAB01/B with A2B phenotype were detected. In the CisAB05 family, 2 CisAB05/O01 and 1 CisAB05/O02 were detected. 【Conclusion】 The serological phenotypes of different individuals in the same CisAB01 family can be different when paired with different ABO alleles. It is advisable to accurately identify the CisAB subtype genes with molecular biological methods to ensure blood transfusion safety.

Objective To evaluate the role of transvaginal color Doppler ultrasound measurements of endometrial thickness,endometrium and subendometrial blood distribution patterns and flow index in predicting endometrial receptivity and pregnancy outcome of freezing embryo transfer(FET).Methods 468 cycles FET were analysed retrospectively.Endometrial thickness,endometrium and subendometrial blood distribution patterns,pulsatility index (PI),resistance index (RI),systolic /diastolic ratio (S/D) of endometrial and subendometrial blood flows with transvaginal ultrasonography were measured on the day of progesterone initiation.Based on the clinical pregnancy or not,patients were divided into two groups.The comparison of these indicators were carried out between pregnant group and non pregnant group.Results The endometrium and subendometrial blood distribution patterns had statistical difference between the two groups(P ＜0.05),the clinical pregnancy rate of Ⅰ,Ⅱ,Ⅲ blood distribution patterns were 31.0％,62.5％,79.0％ respectively.In the pregnancy group,the S/D,PI,and RI of endometrium were significantly lower than those in the nonpregnant group (P ＜ 0.05),and there was no significant difference between the pregnant group and nonpregnant group in endometrial thickness(P ＞0.05).Conclusions Endometrium and subendometrial blood distribution patterns and flow index measured with transvaginal color Doppler ultrasound could assess endometrial receptivity and guide the time selecting of FET transplantation.

Objective To investigate the pregnancy outcome of frozen-thawed embryos transfer in different endometrial progesterone preparation time.Methods From January to December 2012,pregnant outcome of 1 103 frozen-thawed embryo transfer cycles using artificial periodic endometrial preparation were studied retrospectively in Reproductive Medical Center of Henan Provincial People's Hospital.It was divided into 4 groups:group 3-3 (n =543,3 days after endometrial progesterone preparation and transfer D3 embryo),group 4-3(n =330,4 days after endometrial progesterone preparation and transfer D3 embryo),group 5-5 (n =150,5 days after endometrial progesterone preparation and transfer D5 blastula),group 6-5 (n =80,6 days after endometrial progesterone preparation and transfer D5 blastula).The rate of implantation,pregnancy,ectopic pregnancy,multiple pregnancy,and first trimester abortion were compared among those groups.Results (1) With the different endometrial progesterone preparation methods and transfer D3 embryos,implantation rate [group 3-3:39.9％ (429/1 074) ; group 4-3:44.1％ (286/648)],pregnancy rate [group 3-3:56.0％ (304/543) ; group 4-3:59.4％ (196/330)],ectopic pregnancy rate [group 3-3:3.3％ (10/304) ; group 4-3:2.6％ (5/196)],multiple pregnancy rate [group 3-3:38.5％ (117/304) ; group 4-3:43.4％ (85/196)]and early abortion rate[group 3-3:13.5％ (41/304); group 4-3:13.3％ (26/196)] had no significant differences between group 3-3 and group 4-3 (all P ＞ 0.05).(2) With the different endometrial progesterone preparation methods and transfer D5 blastocysts,implantation rate [group 5-5:64.7％ (191/295) ; group 6-5:69.4％ (100/144)],pregnancy rate [group 5-5:80.7％ (121/150) ; group 6-5:78.8％ (63/80)],ectopic pregnancy rate [group 5-5:2.5％ (3/121) ; group 6-5:0],multiple pregnancy rate[group 5-5:55.4％ (67/121) ; group 6-5:46.3％ (37/80)] and early abortion rate[group 5-5:5.8％ (7/121); group 6-5:7.9％ (5/63)].However,there were no significantly differences between group 5-5 and group 6-5 (all P ＞ 0.05).Conclusions The two different progesterone transformed endometrial methods can obtain satisfactory clinical outcome with D3 embryo or D5 blastocysts transfor.It is convenient to clinical and laboratory work arrangements.