The Development of an Efficient Ambulatory In Vitro Fertilization (IVF) and Embryo TrAnsfer (ET) Program Using Ultrasonically Guided Oocyte Retrieval

Yona Barak, Joseph B. Lessing, Ami Amit, Abraham Kogosowski, Israel Yovel, Menachem P. David, M. Reuben Peyser

Research output: Contribution to journalArticlepeer-review

Abstract

Until recently most of the current in vitro fertilization and embryo transfer (IVF‐ET) programs used laparoscopy for oocyte retrieval and included hospitalization in the treatment. The establishment of a successful ambulatory IVF program that uses ultrasonically guided oocyte aspiration, is described. Between August 1985 and February 1987, 384 percutaneous transvesical ultrasonically and transvaginally guided follicle aspirations were performed on 414 patients, following ovarian stimulation with hMG and hCG. Ninety two clinical pregnancies were confirmed by ultrasound. The clinical pregnancy rate was 26.8% when based on the number of embryo transfers. There were 16 multiple pregnancies (17.4%), 18 miscarriages (19.5%), and two tubal pregnancies (2.1%). The most important factors contributing toward the success of this program were rigid adherence to clinical and laboratory protocols, and the maintenance of a strict quality control. The ambulatory management was very well accepted by the patients, who during the entire period of ovarian stimulation had minimal disruption of their routine activities. 1988 Acta Obstet Gynecol Scand

Original languageEnglish
Pages (from-to)585-588
Number of pages4
JournalActa Obstetricia et Gynecologica Scandinavica
Volume67
Issue number7
DOIs
StatePublished - Jan 1988

Keywords

  • ET (embryo transfer)
  • IVF
  • ambulatory program

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