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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2011, Number 04

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Ginecol Obstet Mex 2011; 79 (04)

Evaluation of two transfer embryo systems performed by six physicians

Kably AA, Campos CJA, Aguirre RG, Carballo ME, Carrera LE, Ortiz RH, Kisel LR
Full text How to cite this article

Language: Spanish
References: 11
Page: 196-199
PDF size: 321.85 Kb.


Key words:

Embryo transfer, two sets of transfer.

ABSTRACT

Background: Embryo transfer is a critical point for success in IVF cycles. Many factors should be considered when performing an embryo transfer such as: embryo quality and number, soft versus rigid catheter, easy of the transfer, physician technique, ultrasound guide during transfer, among others.
Objective: Evaluate two different embryo transfer systems performed by six physicians with the same protocol.
Material and Methods: We evaluated 308 embryo transfers performed from January 2006 to December 2008 by six physicians with two different systems. We only included patients with good quality in embryos and endometrium. Both systems were analyzed in each of the six physicians.
Results: Similar characteristics in number of transferred embryos, number of cells in each embryo and quality of them, were found in both groups. There were no significant differences between both systems in the characteristics of the couple nor the mentioned above. Most ofthe transfers n=252 (81.81%), were realized by two of the six physicians, however, the pregnancy rate did not show significant differences between these physicians and the less experienced ones.
Conclusions: With the obtained results, it could be supposed that the most influential factor in the outcome is the operator experience in the use of each system and not the system itself.


REFERENCES

  1. Schoolcraft WB, Surrey ES, Gardner DK. Embryo transfer: techniques and variables affecting success. Fertil Steril 2001;76:863-870.

  2. Scott SE. Embryo Transfer. J Exp Clin Assist Reprod 2008;5:3.

  3. Mansour R. Embryo transfer techniques: what affects the results? MEFSJ 2004;9:3.

  4. Karande V, Morris R, Chapman C, et al. Impact of the “physician factor” on pregnancy rates in a large assisted reproductive technology program: do too many cooks spoil the broth? Fertil Steril 1999;71:1001-1010.

  5. Bucket WM. A review and metanalysis of prospective trials comparing different catheters used for embryo transfer. Fertil Steril 2006;85:728-734.

  6. Abou- Setta AM, Al Inany HG, Mansour RT, et al. Soft versus firm embryo transfer catheters for assisted reproduction: a systematic review and meta- analysis. Hum Reprod 2005;20 (11): 3114-3121.

  7. Coroleu B, Carreras O, Veiga A, Martell A, et al. Embryo transfer under ultrasound guidance improves pregnancy rates in in-vitro fertilization. Hum Reprod 2000;15, 616-620.

  8. Brown J, Buckingham K, Abou- Setta AM, Buckett W. Ultrasound versus “clinical touch” for catheter guidance during embryo transfer in women. The Cochrane Database of Systematic Reviews 2009 Issue 2.

  9. Giorgetti C, Terriou P, et al. Embryo score to predict implantation after in- vitro fertilization based on 957 single embryo transfers. Hum Reprod 1995;10:2427-2431.

  10. Nimala S, Narayanan M. Selective blastocyst transfer study: 604 cases in 6 years. J Hum Reprod Sci 2008;1:1.

  11. Pasqualini RS, Quintans Cl. Clinical practice of embryo transfer. Reprod Bio Med Online 2001;4:83-92.




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Ginecol Obstet Mex. 2011;79