Embryo transfer practices in the United States: a survey of clinics registered with the Society for Assisted Reproductive Technology
Author(s)
Jungheim, E. S.Ryan, Ginny L.
Levens, E. D.
Cunningham, A. F.
Macones, G. A.
Carson, K. R.
Beltsos, A. N.
Odem, R. R.
Keywords
AdultAmbulatory Care Facilities/legislation & jurisprudence/statistics & numerical data
Counseling
Cross-Sectional Studies
Embryo Transfer/ethics/methods/statistics & numerical data
Female
Guideline Adherence/statistics & numerical data
Guidelines as Topic
Humans
Informed Consent
Pregnancy
Professional Practice/statistics & numerical data
Registries
Reproductive Techniques
Assisted/legislation & jurisprudence/statistics & numerical data
Societies
Medical/legislation & jurisprudence/organization & administration
United States
Obstetrics and Gynecology
Full record
Show full item recordOnline Access
http://ir.uiowa.edu/obgyn_pubs/619Abstract
OBJECTIVE: To gain a better understanding of factors influencing clinicians' embryo transfer practices. DESIGN: Cross-sectional survey. SETTING: Web-based survey conducted in December 2008 of individuals practicing IVF in centers registered with the Society for Assisted Reproductive Technology (SART). PATIENT(S): None. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Prevalence of clinicians reporting following embryo transfer guidelines recommended by the American Society for Reproductive Medicine (ASRM), prevalence among these clinicians to deviate from ASRM guidelines in commonly encountered clinical scenarios, and practice patterns related to single embryo transfer. RESULT(S): Six percent of respondents reported following their own, independent guidelines for the number of embryos to transfer after IVF. Of the 94% of respondents who reported routinely following ASRM embryo transfer guidelines, 52% would deviate from these guidelines for patient request, 51% for cycles involving the transfer of frozen embryos, and 70% for patients with previously failed IVF cycles. All respondents reported routinely discussing the risks of multiple gestations associated with standard embryo transfer practices, whereas only 34% reported routinely discussing single embryo transfer with all patients. CONCLUSION(S): Although the majority of clinicians responding to our survey reported following ASRM embryo transfer guidelines, at least half would deviate from these guidelines in a number of different situations.Date
2010-09-01Type
ArticleIdentifier
oai:ir.uiowa.edu:obgyn_pubs-1620http://ir.uiowa.edu/obgyn_pubs/619
Collections
Related items
Showing items related by title, author, creator and subject.
-
Trends in Indian health 1998-99.Division of Program Statistics, Staff Office of Planning, Evaluation and Research, Indian Health Service. (UNM Digital Repository, 2001-01-01)The IHS Trends in Indian Health attempts to fulfill the basic statistical information requirements of parties that are interested in the IHS. The tables and charts contained in the IHS Trends in Indian Health describe the IHS program and the health status of American Indians and Alaska Natives residing in the IHS service area. The IHS service area consists of counties on and near federal Indian reservations. The Indians residing in the service area comprise about 60 percent of all Indians residing in the U.S. Information pertaining to the IHS structure and American Indian and Alaska Native demography, patient care, and community health are included. Historical trends are depicted, and comparisons to other population groups are made, when appropriate. Current regional differences information can be found in the IHS companion publication called Regional Differences in Indian Health. The tables and charts are grouped into six major categories: 1) IHS Structure, 2 ) Population Statistics, 3) Natality and Infant/Maternal Mortality Statistics, 4) General Mortality Statistics, 5) Patient Care Statistics, and 6) Community Health Statistics . The tables provide detailed data, while the charts show significant relationships . A table and its corresponding chart appear next to each other. However, some charts that are self-explanatory do not have a corresponding table. Also, a few tables have more than one chart associated with them.
-
Regional differences in Indian Health - 1992.Indian Health Service (UNM Digital Repository, 1991-01-01)The IHS Trends in Indian Health attempts to fulfill the basic statistical information requirements of parties that are interested in the IHS and its relationship with the American Indian and Alaska Native people. The tables and charts describe the IHS program, and the health status of American Indians and Alaska Natives. Information pertaining to the IHS structure, American Indian and Alaska Native demography, patient care, and community health are included. Historical trends are depicted, and comparisons to other population groups are made, when apprpriate. Regional differences information can be found in the IHS companion publication called Regional Differences in Indian Health.
-
Assessing the health attitudes, beliefs, and behaviors of African Americans attending church: a comparison from two communitiesWichita State University. Department of Psychology; Green, B. Lee; Lewis, Rhonda K. (Springer, 2012-02-29)Click on the DOI link below to access the article (may not be free).