What do consistently high-performing in vitro fertilization programs in the U.S. do?

Bradley J. Van Voorhis; Mika Thomas; Eric S. Surrey; Amy E.T. Sparks

doi:10.1016/j.fertnstert.2010.06.048

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What do consistently high-performing in vitro fertilization programs in the U.S. do?

Journal article

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What do consistently high-performing in vitro fertilization programs in the U.S. do?

Bradley J. Van Voorhis, Mika Thomas, Eric S. Surrey and Amy E.T. Sparks

Fertility and sterility, Vol.94(4), pp.1346-1349

09/01/2010

DOI: 10.1016/j.fertnstert.2010.06.048

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Abstract

Objective To identify common clinical and laboratory practices among consistently high-performing IVF programs. Design Questionnaire study of selected IVF programs. Setting Academic and private practice IVF programs. Patient(s) Ten of 12 programs identified as having consistently high singleton delivery rates per cycle. Intervention(s) None. Main Outcome Measure(s) Common clinical practices. Result(s) Common clinical practices identified among these programs included testing all patients for ovarian reserve, endometrial defects, and hydrosalpinges; use of a mixed LH and FSH stimulation protocol with step-down dosing; and use of ultrasound guidance for ET. Common laboratory practices included selective use of intracytoplasmic sperm injection, group culture of embryos in microdrops, and use of blastocyst ET in selected cases. Common laboratory features included good air quality using filtration and heated stages for oocyte and embryo work. Conclusion(s) Although a number of factors were identified in this best-practices questionnaire, programs often differed in many aspects of care. However, high-performing programs cited experience of physicians, embryologists, and staff members as well as consistency of approach, attention to detail, and good communication as being vital to excellent outcomes.

Obstetrics and Gynecology

Details

Title: Subtitle: What do consistently high-performing in vitro fertilization programs in the U.S. do?
Creators: Bradley J. Van Voorhis - University of Iowa
Mika Thomas
Eric S. Surrey
Amy E.T. Sparks - University of Iowa
Resource Type: Journal article
Publication Details: Fertility and sterility, Vol.94(4), pp.1346-1349
DOI: 10.1016/j.fertnstert.2010.06.048
NLM abbreviation: Fertil Steril
ISSN: 0015-0282
eISSN: 1556-5653
Copyright: American Society for Reproductive Medicine
Grant note: name: Mary Ellen Molinaro-Blonigan Research Fund; name: University of Iowa Carver College of Medicine
Language: English
Date published: 09/01/2010
Academic Unit: Obstetrics and Gynecology
Record Identifier: 9983557778402771

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