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W Würfel

Publications and source records attributed to W Würfel.

49 records · Page 3Linked to original sources
PubMed1989

[Initial experiences with amniocentesis for prenatal diagnosis in pregnancy following in-vitro fertilization].

We report on first experiences with amniocentesis in 63 pregnancies after IVF treatment over a period of 3 years. It is shown, that there is no increased risk through amniocentesis; it does not require special precautions. Above average number of aberrations could be found in amniotic cultures in cases where it could be identified additionally in one parent. It remains to be seen, whether the small number and sterility causes were coincidental or manifest themselves in future, especially, if the sterility concerned can be classified as idiopathic. The occurrence of trisomy 21 in accordance with the frequency is to be expected in the group of persons over 35 years of age and no increased risk through IVF treatment can be found.

Adolescent↗
PubMed1988

[Pregnancy following in vitro fertilization and intratubal embryo transfer].

The intratubar embryotransfer is a variation of the in vitro fertilization, where the procreated preimplantation-embryos are not transferred into the cavum uteri but the tube(s). The intracavitar embryotransfer is the only possibility to treat irreparable tubar sterility in contrary to sterility not caused by the tubes where the transfer can be effected directly into the tubes. Considering the gamete intrafallopian transfer (GIFT) one can assume, that the tubes are the best physiological place for the very young embryo's evolution. In opposition to the GIFT-method the embryotransfer into the tubes will be done only if a fertilization was proved: thereby superfluous operations can be avoided and additional diagnostic hints can be gained. The valuable indications are the following ones: idiopathic sterility, certain cases of andrological subfertility and immunological sterility; probably for some kinds of the last indication from the intratubar embryotransfer there will result a special area of application. It is reported about a viable pregnancy after in vitro fertilization and intratubar embryotransfer. The new method is supposed to be called IVF/IT-ET (i.e. in vitro fertilization and intratubar embryotransfer).

Adult↗
PubMed1988

[Pregnancy following intratubal gamete transfer by hysteroscopy].

The method of gamete intrafallopian transfer (GIFT) was first described by Asch and has since the been introduced into the treatment of sterility not caused by the tubes. Standard technique for this method is laparoscopy. We report on the first pregnancy in our hospital when gamete intrafallopian transfer was undertaken hysteroscopically, i.e. combined with a transvaginal ultrasound-guided puncture of follicles for obtaining oocytes. The procedure is described. The important aspects of this technique are discussed briefly and the advantages shown: Shorter duration of intervention, reduced traumatisation of the patient and the possibility of effecting the operation without anaesthesia. The stress resulting from this technique is hardly different from that during intratubal embryo transfer provided this too is effected with sonographically monitored transvaginal follicle puncture.

Adult↗
PubMedDate not supplied

Hysteroscopy for gamete intrafallopian transfer (GIFT).

Gamete intrafallopian transfer (GIFT) is performed currently using laparoscopy. We report on a pilot-study from 1.1.1987 to 31.12.1987 and from 1.5.1988 to 30.4.1989, in which we used hysteroscopy instead of laparoscopy for the GIFT-procedure. The entering conditions were: unexplained (idiopathic) infertility, failure of previous treatments, proven fertilization capability of the gametes in at least one IVF attempt, and request of the married couple to dispense with laparoscopy during GIFT procedure. Hysteroscopic GIFT was initially performed on hysterectomy specimens, using the Chorionoskop. Continuous flow CO2 through the fallopian tubes did not result in loss of gametes. Twenty-four treatment cycles were performed in 16 patients. In 19 cycles, gametes were transferred into one tube, and in two cycles they were transferred into both tubes. Four of 16 women conceived: one patient delivered at term, three pregnancies ended in a first trimester abortion. These results demonstrate that the hysteroscopic approach to intrafallopian gamete transfer can be successful. However, the technique is demanding and requires extensive training. We conclude that further improvements of hysteroscopic GIFT are needed.

Female↗
PubMedDate not supplied

[Course of pregnancy and labor following in vitro fertilization. A retrospective study of 246 deliveries].

This record concerns the statistical registration and analysis of the courses and developments having taken place in 246 pregnancies and births after in-vitro-fertilization. The cases were registered retrospectively, the degree of registration being 77.2% approximately; the scientific evaluation was carried out on the basis of the BPE 1987. It can be shown that there is an increased incidence of the EPH-gestosis, the clinically relevant placenta insufficiency syndrome, the intrauterine death of fetus, the abruptio placentae and prematurity. As predisposing factors must primarily be seen and discussed the ovarian hyperstimulation being--in most cases--connected with IVF and the higher age of the patients; it can be supposed that the method of fertilization in vitro itself is of minor importance. Its importance in the pathogenesis of abruptio placentae, however, cannot be exactly evaluated so far. The frequency of multiple pregnancies represents a special problem. Though the rate is lower in the examined group than in comparable--that is due to the limited number of collected oocytes--it should be aimed at a further lowering of multiple pregnancy rates.

Adult↗