OC07.07: Pregnancy outcomes of multifetal pregnancy reduction in women with dichorionic triamniotic triplets after in vitro fertilisation-embryo transfer

Background: In-vitro fertilization (IVF) is associated with increased multiple pregnancy and its attendant complications. This study evaluates the attitude and acceptance of single embryo transfer (SET) and multifetal pregnancy reduction (MFPR) by clients assessing assisted reproduction in this region.Methods: A cross sectional survey of patients selected for IVF was conducted. Information on demography, knowledge of IVF procedure and their perception, attitude and acceptability of multiple pregnancy as well as their knowledge, attitude and perception to single embryo transfer and multifetal pregnancy reduction were extracted for statistical analysis.Results: Seventy-three women participated in the study. The mean age was 39 years and mean duration of infertility was 8.6 years. Only 3 (4.1%) respondents agreed to have SET as the overwhelming majority (70) 95.9% preferred 2 or more and they felt the more number of embryo transferred the better the chances of achieving pregnancy. Similarly most respondents, 38.4% (28) did not accept MFPR. Most respondents considered age (63%) and duration of infertility (78.1%) as major influencing factor for rejecting SET. Over 75% of respondents said they will still accept multiple embryos transferred despite knowledge of the possible complications.Conclusions: While most infertile women in our sub region appear to recognize the risks with multiple pregnancy, they are less interested in SET or MFPR because they perceive more embryos transferred as a means to maximize treatment outcome. Government funding, client education and a blastocyst transfer protocol may improve acceptability as well as overall preference for less number of embryos transferred in our environment.

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OC29.05: A comparison of the pregnancy outcomes between women with a didelphus uterus and a unicornuate uterus after in vitro fertilisation‐embryo transfer

Ultrasound in Obstetrics and Gynecology ◽

10.1002/uog.20629 ◽

2019 ◽

Vol 54 (S1) ◽

pp. 76-76

Author(s):

P. Cai ◽

Y. Ouyang ◽

Q. Wu ◽

F. Gong ◽

X. Li

Keyword(s):

Embryo Transfer ◽

Pregnancy Outcomes ◽

In Vitro Fertilisation ◽

Unicornuate Uterus

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Transcutaneous electrical acupuncture point stimulation improves pregnancy outcomes in patients with recurrent implantation failure undergoing in vitro fertilisation and embryo transfer: a prospective, randomised trial

Acupuncture in Medicine ◽

10.1136/acupmed-2017-011483 ◽

2019 ◽

Vol 37 (1) ◽

pp. 33-39 ◽

Cited By ~ 2

Author(s):

Zhenhong Shuai ◽

Xuemei Li ◽

Xuelian Tang ◽

Fang Lian ◽

Zhengao Sun

Keyword(s):

Embryo Transfer ◽

Live Birth ◽

Pregnancy Outcomes ◽

Clinical Pregnancy ◽

In Vitro Fertilisation ◽

Control Group ◽

Implantation Failure ◽

Recurrent Implantation Failure ◽

Electrical Acupuncture

Objective: To evaluate the effect of transcutaneous electrical acupuncture stimulation (TEAS) on pregnancy outcomes in patients with recurrent implantation failure (RIF) undergoing in vitro fertilisation (IVF). Methods: A total of 122 women with RIF undergoing fresh embryo transfer cycle IVF were randomly allocated to a TEAS or mock TEAS (MTEAS) group. Gonadotrophin therapy using a long protocol was provided in both groups. TEAS consisted of 30 min of stimulation (9–25 mA, 2 Hz) at SP6, CV3, CV4 and Zigong from day 5 of the ovarian stimulation cycle once every other day until the day of embryo transfer. The patients in the control group received MTEAS. Implantation, clinical pregnancy and live birth rates were compared. Results: In the TEAS group, the implantation rate, clinical pregnancy rate and live birth rate (24.3%, 32.8% and 27.9%, respectively) were significantly higher than in the MTEAS group (12.1%, 16.4% and 13.1%, respectively). Conclusions: TEAS significantly improves the clinical outcomes of subsequent IVF cycles among women who have experienced RIF. Trial registration number: ChiCTR-TRC-14004730.

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