Single embryo transfer for all

Cutting, Rachel

doi:10.1016/j.bpobgyn.2018.07.001

Cited by 58 publications

(37 citation statements)

References 36 publications

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“…Some centers showed signi cant improvement without a higher multiple rates, but data show an impressive variability among centers not fully justi ed by any clinical variability in the treated population or by the number of embryos transferred. DR in fresh transfer probably penalize centers where younger more favorable prognosis is always cancelled for the risk of hyperstimulation or single embryo transfer is more often performed and bene t centers transferring more than one embryo even in higher risk conditions [17,18]. Fresh transfer performance is a poor and rather confusing [19,20] than CDR, since frozen embryos are a yearly growing success experience and need probably to be dismissed from all reports.…”

Section: Discussionmentioning

confidence: 99%

2017-2018 Assisted Reproduction Cost Analysis performance indexes: Lombardy County Case Study

Levi-Setti

Busnelli

Bodina

et al. 2021

Preprint

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Objective The present study investigated the cost per delivery for all public reimbursed ART cycles performed in Lombardy. MethodsAnalysis of costs for the 2017 and 2018 Delivery and Cumulative Delivery Rates extracted from the ART Italian Registry on oocytes retrieval, fresh and frozen embryos and oocytes performed in 22 Lombardy IVF Units. ResultsIn 2017, 29,718 procedures were performed, resulting in 4,543 pregnancies and 3,253 deliveries. In 2018, there were 29,708 procedures, 4,665 pregnancies and 3,348 deliveries. Pregnancies lost to follow up were 5.0% with a (range of 0 to 67.68%) in 2017 and 3.4% (range of 0 to 45.1%) in 2018. The cost reimbursement for the cycles were €2,232 ($2,611) for oocyte retrieval and €2,194 ($2,567) for embryo transfer, excluding ovarian stimulation therapy and luteal phase support.The mean multiple pregnancy delivery rate (MDR) in all 22 IVF centers was 11.08% ± 5,55% (range 0.00% -22.73%) in 2017 and 10.41% ± 4.99 (range 1.33% - 22.22%) in 2018. The mean cost for delivery in euros was 26,227 ± 14,737 in 2017 and 25,018 ± 16,039. The cost difference among centers was 12,480 - 76,725 in 2017 and 12,973 - 86,203 in 2018.Conclusions Our findings suggest the formulation of specific KPI’s (Key performance indexes) and minimal performance indexes (PI) as a basis for the allocation of public or insurance resources. In particular, the reduction of multiple pregnancy rates costs, may lead to a more widespread use of ART even in lower resources countries.

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Section: Discussionmentioning

confidence: 99%

2017-2018 Assisted Reproduction Cost Analysis performance indexes: Lombardy County Case Study

Levi-Setti

Busnelli

Bodina

et al. 2021

Preprint

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“…Hoy el estándar internacional, y en nuestro centro, es la transferencia de embrión único 9,10 . Como es esperable, los resultados obtenidos en el trienio estudiado, demuestan mejores tasas de parto con la transferencia de dos embriones.…”

Section: Discussionunclassified

Implementación de Técnicas de Reproducción Asistida en el Centro de Reproducción Humana de la Universidad de Valparaíso: resultados del primer trienio (2015 – 2017)

Chamy

Juan

Jimenez

et al. 2021

Rev. chil. obstet. ginecol.

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Introducción y objetivos: La infertilidad es una enfermedad altamente prevalente que afecta aproximadamente a un 8-10% de las parejas en edad reproductiva. Las Técnicas de Reproducción Asistida (TRA) han experimentado un importante incremento en el número de tratamientos realizados, no obstante, el acceso en Chile sigue siendo limitado y centralizado. El presente estudio resume la experiencia y los resultados de TRA del primer trienio del

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“…This is evidenced by the decrease of multiple birth rates among Canadian gestational surrogates from 32% in 2003 to 15% 2014 . Using preimplantation genetic testing for aneuploidy to screen embryos for chromosomal abnormalities before embryo transfer can improve implantation and pregnancy rates and minimize the likelihood of pregnancy complications for surrogates …”

Section: Discussionmentioning

confidence: 99%

Analysis of gestational surrogates’ birthing experiences and relationships with intended parents during pregnancy and post‐birth

Yee

Librach

2019

Birth

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Background This study investigated the surrogates’ birth experiences, their levels of emotional struggle at relinquishment, how often they thought about the surrogacy children, and the surrogate–parent relationship dynamics during pregnancy and post‐birth. Methods Data were collected from 06/2016 to 02/2017 using an anonymous questionnaire. Participants were Canadian gestational surrogates who had completed the process with or without a successful live birth, and who were at various stages of an ongoing surrogacy. For this paper, only a subgroup of cases with a successful live birth was selected for analysis. Results The data set included 131 births involving 90 surrogates who delivered 157 babies (105 singletons and 26 sets of twins). Their mean age at the time of surrogacy was 31.7 ± 5 years (range: 21‐47y). More than one‐third (37.4%) of the cases were for intended parents who were same‐sex male couples and single men. Surrogates assisting Canadian‐resident intended parents had an overall better birthing experience compared with those assisting nonresidents. There was none or very little struggle with the relinquishment of the baby in 96.9% of cases. Continued contact with parents after the births was reported in 93.0% of cases. Surrogates were significantly more likely to have frequent post‐birth contact with same‐sex and single fathers compared with heterosexual parents and single mothers (76.6% vs 54.3%). Conclusions Same‐sex male couples and single men can develop a long‐lasting relationship with their surrogates even when no intended female partners are involved. The development of institutional practice guidelines in standardizing surrogacy birth practice is paramount in optimizing surrogates’ care.

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Single embryo transfer for all

Cited by 58 publications

References 36 publications

2017-2018 Assisted Reproduction Cost Analysis performance indexes: Lombardy County Case Study

2017-2018 Assisted Reproduction Cost Analysis performance indexes: Lombardy County Case Study

Implementación de Técnicas de Reproducción Asistida en el Centro de Reproducción Humana de la Universidad de Valparaíso: resultados del primer trienio (2015 – 2017)

Analysis of gestational surrogates’ birthing experiences and relationships with intended parents during pregnancy and post‐birth

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Single embryo transfer for all

Cited by 58 publications

References 36 publications

2017-2018 Assisted Reproduction Cost Analysis performance indexes: Lombardy County Case Study

2017-2018 Assisted Reproduction Cost Analysis performance indexes: Lombardy County Case Study

Implementación de Técnicas de Reproducción Asistida en el Centro de Reproducción Humana de la Universidad de Valparaíso: resultados del primer trienio (2015 &#8211; 2017)

Analysis of gestational surrogates’ birthing experiences and relationships with intended parents during pregnancy and post‐birth

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Product

Resources

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Implementación de Técnicas de Reproducción Asistida en el Centro de Reproducción Humana de la Universidad de Valparaíso: resultados del primer trienio (2015 – 2017)