Intralipid can suppress natural killer cells that are known to be involve in repeated implantation failure and recurrent miscarriages.Intralipid is made of purified soybean oil, egg phospholipids, glycerol and water. It provides essential fatty acids, linoleic acid, omega- 3 and 6 fatty acids and alpha-linolenic acid. The effects of Intralipid in suppressing natural killer cell activity (NKa) were found to be comparable to intravenous immunoglobulin (IVIG) by laboratory experiments.We will study the effect of intralipid infusion on the pregnancy outcome of women aged 35-40 years with history of repeated implantation failure of miscarriage and who have positive peripheral blood natural killer cells
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
200
IV infusion of 250 ml of intralipid 20% solution at the day of Ovum pick up \& another dose at the day of embryo Transfer.
Cairo University
Cairo, Egypt
Clinical pregnancy rate
Intrauterine gestational sac with fatal pole and positive pulsation
Time frame: 10 months
Chemical pregnancy
positive pregnancy test (serum BHCG) measured 16 days following embryo transfer
Time frame: 10 months
implantation rate
the number of gestational sacs divided by the number of embryos transferred
Time frame: 10 months
ongoing pregnancy rate
clinical pregnancy continue after 12 weeks gestational age
Time frame: 10 months
Miscarriage rate
Time frame: 12 months
Ectopic rate
Time frame: 12 months
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