계명대학교 의학도서관 Repository

Maternal and fetal safety of intravenous immunoglobulin in women with reproductive failure

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Author(s)
Aera HanSung Ki LeeJoon Cheol ParkChan Woo ParkJae Won HanKi Hwan Lee
Keimyung Author(s)
Park, Joon Cheol
Department
Dept. of Obstetrics & Gynecology (산부인과학)
Journal Title
Am J Reprod Immunol
Issued Date
2021
Volume
86
Issue
6
Keyword
intravenous immunoglobulin Gobstetric complicationpregnancyteratogenicity
Abstract
Problem:
Intravenous immunoglobulin G (IVIG) is an emerging regimen for women with reproductive failures (RF) during- or pre-pregnancy who have aberrant cellular immune reactions. Studies investigating teratogenicity of IVIG have been limited. Herein, we evaluated the fetal teratogenicity of IVIG and IVIG-related obstetric complications.

Method of study:
Women who used IVIG during pregnancy due to RF with cellular immune aberrances were enrolled from four medical centers in Korea. The pregnancy outcomes were collected.

Results:
A total of 370 RF women who used IVIG during their pregnancy were enrolled. Most of the patients started the IVIG therapy before 12 weeks of gestation and 229 women continued IVIG treatment beyond 12 weeks of gestation. The mean age of the subjects was 34.8 years and the mean total dosage of IVIG was 125.3 g. A total of 307 women had livebirths and six of them were twins. Of 301 singleton livebirths, obstetric complications were developed as follows: preterm births (12.0%), gestational diabetes (7.0%), preeclampsia (4.0%), placental abruption (1.3%), placenta previa (4.3%), and placenta accrete (1.7%). Total six cases (1.99%) had major fetal anomalies in livebirths. The incidence of birth defects is similar to those of the general population in Korea and the previous report in infertile women. No IVIG -related viral contamination was noted.

Conclusion:
IVIG use during pregnancy did not increase obstetric complications and fetal teratogenicity. This study can be an evidence of maternal and fetal safety of IVIG administration during pregnancy.
Keimyung Author(s)(Kor)
박준철
Publisher
School of Medicine (의과대학)
Citation
Aera Han et al. (2021). Maternal and fetal safety of intravenous immunoglobulin in women with reproductive failure. Am J Reprod Immunol, 86(6), e13492. doi: 10.1111/aji.13492
Type
Article
ISSN
1600-0897
Source
https://onlinelibrary.wiley.com/doi/10.1111/aji.13492
DOI
10.1111/aji.13492
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43925
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Obstetrics & Gynecology (산부인과학)
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