Document Detail


Improvement of IVF results and optimisation of quality control by using intermittent activity.
MedLine Citation:
PMID:  15588470     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
For several years the present authors' team had not been satisfied with the pregnancy rate achieved by their unit, especially in comparison with the results achieved by other teams with a similar population. A quality programme was established, and it was decided to switch from non-stop to intermittent activity. It was envisaged that this programme would provide a more realistic view of the team's activity and could also, as a secondary effect, improve its results. The team's experience of an in-series organization was presented for the management of 408 consecutive infertile couples, during 2002. The results obtained during 2002 were compared with those for two previous years. There was a significant increase (P < 0.01) in the clinical pregnancy rate per oocyte retrieval from 28.9% (2000) and 25.2% (2001) to 41% (2002) in IVF and from 23% (2000) and 26% (2001) to 38.5% (2002) in intracytoplasmic sperm injection (ICSI). A significant increase (P < 0.01) was also observed in the implantation rate, from 14.8% and 13.4% to 20% in IVF and from 12.1% and 12.9% to 23.5% in ICSI. The higher pregnancy rate was achieved without an increase in the multiple pregnancy rate. In conclusion, recent data support the hypothesis that the use of a quality management system, can, as in this case, have positive repercussions on pregnancy rates.
Authors:
Nelly Frydman; Rénato Fanchin; Anne Le Dû; Marie Catherine Bourrier; Gérard Tachdjian; René Frydman
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Reproductive biomedicine online     Volume:  9     ISSN:  1472-6483     ISO Abbreviation:  Reprod. Biomed. Online     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-12-13     Completed Date:  2005-03-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101122473     Medline TA:  Reprod Biomed Online     Country:  England    
Other Details:
Languages:  eng     Pagination:  521-8     Citation Subset:  IM    
Affiliation:
Service de Génétique et Reproduction, Hôpital Antoine Béclère, 157 rue de la porte de Trivaux 92140 Clamart, France. nelly.frydman@abc.ap-hop-paris.fr
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MeSH Terms
Descriptor/Qualifier:
Adult
Embryo Transfer
Female
Fertilization in Vitro / standards*
Humans
Oocytes
Pregnancy
Pregnancy Rate
Quality Assurance, Health Care*
Quality Control*
Reproductive Medicine / standards*

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