Description

Hunault et al reported 2 models for predicting spontaneous pregnancy leading to live births for a subfertile couple. These are based on 3 previous studies. The authors are from Erasmus Medical Center, McMaster University and University Medical Center Utrecht.


Patient selection: woman from 21 to 41 years of age

 

Models incorporated: Eimers, Collins, Snick

 

Parameters:

(1) woman's age in years

(2) duration of subfertility in years

(3) type of subfertility

(4) sperm motility in percent

(5) referral status

 

Parameter

Finding

Points

woman's age

21 to 25 years

0

 

26 to 31 years

3

 

32 to 35 years

7

 

36 or 37 years

10

 

38 or 39 years

13

 

40 to 41 years

15

duration of subfertility

1 year

0

 

2 years

3

 

3 or 4 years

7

 

5 or 6 years

12

 

7 or 8 years

18

type of subfertility

primary

8

 

secondary

0

motility in percent

>= 60%

0

 

40 to 59%

2

 

20 to 39%

4

 

< 20%

6

referral status

secondary care

0

 

tertiary care

4

 

total score =

= SUM(points for all 5 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 51

• The higher the score the lower the chances of spontaneous pregnancy.

 

probability of spontaneous pregnancy =

= (0.02732 * ((score)^2)) - (2.588 * (score)) + 65.34


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