Publications by authors named "Einat Haikin-Herzberger"

Objectives: To investigate female fertility in patients with rheumatoid arthritis (RA) exposed to biological drugs.

Methods: In this retrospective cohort study, based on an electronic health record database, 4517 women with RA were compared to 1415 patients with psoriatic arthritis (PsA). Patients were 18-40 years-of-age at diagnosis.

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Objective: To study the perinatal outcomes of children born from different conception methods: in vitro fertilization (IVF) with autologous oocytes or IVF with donor egg versus those conceived without medical assistance by using a sibling analysis.

Design: Retrospective cohort study conducted using electronic medical record data from 2000 through 2018, of a national healthcare organization.

Subjects: The cohort included mothers who had two pregnancies and their children.

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Article Synopsis
  • Galactin-3 is involved in crucial reproductive processes like oocyte maturation and implantation, and its expression may predict successful embryo implantation during IVF.
  • A study involving 21 women undergoing IVF measured Galactin-3 levels in blood and follicular fluid at various stages of the IVF cycle.
  • Results showed that higher Galactin-3 levels on the trigger day were associated with successful pregnancies, suggesting its role in fertility and the impact of inflammation on IVF success.
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Background/objectives: Although high live birth rates are associated with oocyte donation (OD), these pregnancies are associated with increased obstetric and perinatal risks. This study evaluated maternal and neonatal risks after OD compared to in vitro fertilization (IVF) with autologous oocytes, and to spontaneous pregnancies (SPs), among singletons, twins and triplets.

Methods: A retrospective, large, population-based cohort study was conducted based on electronic data from Maccabi Healthcare Services.

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Ovarian aging, often leads to increased use of a donor oocyte, which is associated with greater risk for age-related diseases. : To evaluate the association between women conceiving through oocyte donation (OD) and future cancer-related morbidity, as compared with women conceiving through IVF ( fertilization) with autologous oocytes (AO), spontaneous conceptions (SC), and nulliparas. This retrospective, cohort study was based on the electronic health records of a very large health maintenance organization.

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Article Synopsis
  • * The study included 346 patients resulting in 496 IVF cycles, revealing no significant difference in pregnancy, live birth, or miscarriage rates between day 3 and day 5 embryo transfers, despite higher cancellation rates for day 5 transfers.
  • * Conclusions suggest that while day 5 culture can lead to more cancellations due to failed blastocyst formation, it does not negatively impact pregnancy outcomes and may streamline the IVF process for older women.
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Objectives: To investigate treatment approaches for fertility preservation patients, with a focus on timing of oocyte retrieval, and to determine whether their characteristics differ from those of other IVF patients. Additionally, to evaluate the significance of follicle size on triggering day in the context of fertility preservation.

Methods: This retrospective cohort study was conducted in a tertiary, university-affiliated medical center.

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This retrospective study applied machine-learning models to predict treatment outcomes of women undergoing elective fertility preservation. Two-hundred-fifty women who underwent elective fertility preservation at a tertiary center, 2019-2022 were included. Primary outcome was the number of metaphase II oocytes retrieved.

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Background: Although there are some data regarding the COVID-19 vaccine and in in vitro fertilization (IVF) treatments, its potential impact in terms of serum immunoglobulin G (IgG) levels has not been evaluated prospectively. This study aimed to assess the effect of COVID-19 vaccine and IgG levels on IVF outcomes.

Methods: This observational, cohort study was conducted at a referral IVF unit.

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Purpose: To analyze the perinatal and maternal outcomes of women ranging in age from 40 to 45 years who gave birth after in vitro fertilization or oocyte donation, compared to spontaneous conception.

Methods: This retrospective cohort study used electronic data from a national healthcare service from 2000 through 2019. Three groups were compared: spontaneous pregnancy (SC), in vitro fertilization (IVF) utilizing autologous oocytes, and pregnancies resulting from oocyte donation (OD).

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This multi-center study evaluated a novel microscope system capable of quantitative phase microscopy (QPM) for label-free sperm-cell selection for intracytoplasmic sperm injection (ICSI). Seventy-three patients were enrolled in four in vitro fertilization (IVF) units, where senior embryologists were asked to select 11 apparently normal and 11 overtly abnormal sperm cells, in accordance with current clinical practice, using a micromanipulator and 60× bright field microscopy. Following sperm selection and imaging via QPM, the individual sperm cell was chemically stained per World Health Organization (WHO) 2021 protocols and imaged via bright field microscopy for subsequent manual measurements by embryologists who were blinded to the QPM measurements.

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Objective: The aim of the study was to determine whether Ramadan month-long daily fasting affects semen analysis parameters.

Methods: This retrospective cohort study was conducted in tertiary academic medical center. Medical records of 97 Muslim patients who were admitted to the IVF unit from May 2011 to May 2021 were reviewed.

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General anesthesia is frequently administered during oocyte retrieval. Its effects on the outcomes of IVF cycles are uncertain. This study investigated whether administration of general anesthesia (specifically propofol) during oocyte retrieval affects IVF outcomes.

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This study evaluates the effect of GnRH agonist (GnRHa) trigger for ovulation induction among women with advanced maternal age (AMA). This is a retrospective study performed at a single assisted reproductive technology centre, 2012 to 2020. A total of 306 patients with 515 IVF cycles who were triggered with GnRHa for Ovum Pick Up (OPU), were divided into two groups according to maternal age: age ≥ 40 and age < 40.

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Article Synopsis
  • This study examined the impact of high physical activity on ovarian reserve in women aged 20-35 who have regular menstrual cycles.
  • The researchers compared 31 professional female athletes to 31 non-active women, measuring various ovarian reserve indicators such as follicular stimulating hormone and antral follicle count.
  • Results indicated that athletes tended to have a higher total antral follicle count and lower Inhibin B levels, suggesting that their ovarian reserves are comparable or possibly better than those of more sedentary women.
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Purpose: To determine whether exposure to digital educational content affects fertility awareness and attitudes towards fertility preservation treatments?

Methods: A total of 957 women ages 20 to 45 years participated in this internet-based, interventional, cross-sectional study. A questionnaire assessing knowledge of the reproductive span and attitudes towards fertility preservation treatment was completed by these women before and after exposure to online educational content on ovarian reserve and fertility preservation treatments. Responses before and after exposure to the educational content were compared.

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Objective: To evaluate the association between fetal head position during prevacuum assessment and adverse outcomes.

Method: This retrospective cohort study included all vacuum-assisted deliveries using the Kiwi Omnicup over 5 years. Primary outcomes were third- or fourth-degree perineal tear, pH < 7.

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Article Synopsis
  • The study compares the reproductive outcomes and embryo development between underweight women (BMI < 18.50) and normal-weight women (BMI 20-24.9) who underwent ART procedures from 2016 to 2018.
  • Results show that there were no significant differences in ovarian stimulation, fertilization rates, or pregnancy outcomes between the two groups, suggesting underweight women have similar ART success to normal-weight women.
  • The conclusion highlights that being underweight does not negatively affect IVF/ICSI results or embryo quality.
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Introduction: Analyses of miscarriage products indicate that the majority of aneuploidies in early developing embryos derive from errors occurring during maternal meiosis and the paternal contribution is less than 10%. Our aim was to assess the aneuploidy (mainly monosmies) frequencies at the earliest stages of embryo development, 3 days following fertilization during In vitro fertilization (IVF) treatments and to elucidate their parental origin. Later, we compared monosomies rates of day 3 to those of day 5 as demonstrated from Preimplantation Genetic Testing for Structural chromosomal Rearrangement (PGT-SR) results.

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Objective: To assess the correlation between maternal mobility after cesarean delivery and postoperative morbidity.

Methods: A prospective study was conducted in a tertiary hospital among patients after cesarean delivery. The women were recruited after surgery and before ambulation.

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Purpose: To investigate the effect of the COVID-19 pandemic on healthcare utilization related to labor and delivery and to assess the effect of the COVID-19 pandemic on intra-partum and delivery complications.

Methods: This retrospective study was performed at a university-affiliated, tertiary medical center. It included women admitted to the delivery room from 1 March 2020 to 23 July 2020 during the first wave of the COVID-19 pandemic.

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The purpose of this research is to study the efficacy of GnRH-a versus r-hCG triggering in patients who go through fertility preservation cycles. This retrospective cohort study was performed in a tertiary university-affiliated medical center. It includes 191 patients undergoing fertility preservation cycles between May 2013 and September 2018, in which ovulation was induced by either GnRH-a or r-hCG.

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Research Question: What are the effects of physiological and psychological stress on fertility outcomes for women undergoing IVF?

Design: A prospective cohort study of 72 patients undergoing IVF in 2017 and 2018. Physiological stress was assessed by salivary cortisol measurements: (i) pretreatment, when the patient received the IVF protocol; (ii) before oocyte retrieval (follicular cortisol was also measured); and (iii) before embryo transfer. Emotional stress was evaluated at each assessment with the State-Trait Anxiety Inventory and a 1-10 Visual Analogue Scale (VAS, referred to as the 'Stress Scale'.

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This prospective cohort pilot study investigated the physiology of C-reactive protein (CRP) during fertilization (IVF) cycles and its effect on outcomes in women with and without obesity. The study was conducted from April to August 2014, in the IVF Unit of a university-affiliated hospital. Women aged 18-42 years were enrolled.

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Article Synopsis
  • The study investigated the relationship between the length of ovarian ligaments and the occurrence of ovarian torsion in women.
  • Conducted as a prospective cohort study in a university hospital, it involved 56 women—28 with ovarian torsion and 28 with other gynecological issues.
  • Results indicated that women in the torsion group had significantly longer right ovarian ligaments compared to the control group, suggesting that longer ligaments may be linked to an increased risk of ovarian torsion.
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