scholarly journals ROL DEL PERSONAL DE ENFERMERIA EN LOS TRATAMIENTOS DE REPRODUCCIÓN ASISTIDA HUMANA

Author(s):  
Roberlis Aguirre Cova ◽  
Sharon Cristina Machado Bonilla

Existen una gran cantidad de parejas infértiles que se someten actualmente a algún tratamiento de reproducción asistida de baja complejidad (Inseminación Artificial), o de alta complejidad (Fecundación In Vitro, Inyección Intracitoplasmática de espermatozoides (ICSI en sus siglas en inglés) y para la realización de los mismo se necesita de una correcta coordinación entre todo el personal médico, de laboratorio y de enfermería, donde este último, en sus distintos roles, será el encargado de la  preparación de la paciente para que esta pueda afrontar en las mejores condiciones posibles el tratamiento, lo que a su vez facilitará un mejor entendimiento y cumplimiento de las indicaciones, una menor tasa de abandono de tratamiento y mejores resultados en la consecución de un embarazo. El objetivo principal es dar a conocer los roles que cumple actualmente el personal de enfermería como son el asistencial tanto en el consultorio como en el quirófano, brindar apoyo emocional y educativo a las pacientes y participar en proyectos de investigación institucionales.   Palabras clave: enfermería, cuidados de enfermería, infertilidad,  inseminación, fertilización in vitro.   ABSTRACT There are a large number of infertile couples currently undergoing assisted reproduction treatment of low complexity (Artificial Insemination), or high complexity (In Vitro Fertilization, Intracytoplasmic Sperm Injection (ICSI)) and for the realization of the same requires proper coordination between all medical personnel, The latter, in their different roles, will be in charge of preparing the patient so that she can face the treatment in the best possible conditions, which in turn will facilitate a better understanding and compliance with the indications, a lower rate of abandonment of treatment and better results in achieving a pregnancy. The main objective is to raise awareness of the roles currently performed by the nursing staff, such as assistance both in the office and in the operating room, to provide emotional and educational support to patients and to participate in institutional research projects. Keywords: nursing, nursing care, infertility, insemination, in vitro fertilization  

2021 ◽  
Vol 5 (3) ◽  
pp. 01-02
Author(s):  
Georgina Álvarez Medina

The decades of the 70s and 80s of the last century in our country, allowed us to glimpse that the possibilities of treatment for the infertile couple were considerably expanded. Until that moment, infertile couples had very limited options such as adoption, insemination using a donor or conforming to not having children. In Cuba, since 1979, the first steps were taken in the field of assisted reproduction in animals. Human reproduction studies have been carried out at the National Institute of Endocrinology and the Ramón González Coro Gyneco-obstetric Hospital, the first birth having occurred in 1986. Since 2006 and with the aim of guaranteeing perinatological care specialized in pregnant patients as a result of in vitro fertilization, it was decided to create a consultation at the Ramón González Coro Hospital given the high rate of twin and triple pregnancies, preterm births and complications. The number of patients treated had to proceed with high complexity in vitro fertilization and sometimes ICSI and it was not until 2014 after the approval by our constitution, the family code and medical ethics that egg donation began.


MedPharmRes ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 5-20
Author(s):  
Vu Ho ◽  
Toan Pham ◽  
Tuong Ho ◽  
Lan Vuong

IVF carries a considerable physical, emotional and financial burden. Therefore, it would be useful to be able to predict the likelihood of success for each couple. The aim of this retrospective cohort study was to develop a prediction model to estimate the probability of a live birth at 12 months after one completed IVF cycle (all fresh and frozen embryo transfers from the same oocyte retrieval). We analyzed data collected from 2600 women undergoing in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) at a single center in Vietnam between April 2014 and December 2015. All patients received gonadotropin-releasing hormone (GnRH) antagonist stimulation, followed by fresh and/or frozen embryo transfer (FET) on Day 3. Using Cox regression analysis, five predictive factors were identified: female age, total dose of recombinant follicle stimulating hormone used, type of trigger, fresh or FET during the first transfer, and number of subsequent FET after the first transfer. The area under the receiver operating characteristics curve for the final model was 0.63 (95% confidence interval [CI] 0.60‒0.65) and 0.60 (95% CI 0.57‒0.63) for the validation cohort. There was no significant difference between the predicted and observed probabilities of live birth (Hosmer-Lemeshow test, p > 0.05). The model developed had similar discrimination to existing models and could be implemented in clinical practice.


Reproduction ◽  
2000 ◽  
pp. 15-23 ◽  
Author(s):  
K Jewgenow ◽  
M Rohleder ◽  
I Wegner

Despite many efforts, the control of reproduction in feral cat populations is still a problem in urban regions around the world. Immunocontraception is a promising approach; thus the present study examined the suitability of the widely used pig zona pellucida proteins (pZP) for contraception in feral domestic cats. Purified zona pellucida proteins obtained from pig and cat ovaries were used to produce highly specific antisera in rabbits. Antibodies against pZP raised in rabbits or lions were not effective inhibitors of either in vitro sperm binding (cat spermatozoa to cat oocytes) or in vitro fertilization in cats, whereas antibodies against feline zona pellucida proteins (fZP) raised in rabbits showed a dose-dependent inhibition of in vitro fertilization. Immunoelectrophoresis, ELISA and immunohistology of ovaries confirmed these results, showing crossreactivity of anti-fZP sera to fZP and to a lesser extent to pZP, but no interaction of anti-pZP sera with fZP. It is concluded that cat and pig zonae pellucidae express a very small number of shared antigenic determinants, making the use of pZP vaccine in cats questionable. A contraceptive vaccine based on feline zona pellucida determinants will be a better choice for the control of reproduction in feral cats if immunogenity can be achieved.


2014 ◽  
Author(s):  
Sung-Hun Min ◽  
Jin-Woo Kim ◽  
Yong-Hee Lee ◽  
Jae-Hyun Ahn ◽  
Geon-Yeop Do ◽  
...  

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