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Article
Embryo transfer practices in the United States: a survey of clinics registered with the Society for Assisted Reproductive Technology
Fertility and sterility
  • E. S. Jungheim
  • Ginny L. Ryan, University of Iowa
  • E. D. Levens
  • A. F. Cunningham
  • G. A. Macones
  • K. R. Carson
  • A. N. Beltsos
  • R. R. Odem
Document Type
Article
Peer Reviewed
1
Publication Date
9-1-2010
NLM Title Abbreviation
Fertil Steril
PubMed ID
19748089
DOI of Published Version
10.1016/j.fertnstert.2009.07.987
Abstract
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.
Keywords
  • Adult,
  • Ambulatory 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
Published Article/Book Citation
Fertility and sterility, 94:4 (2010) pp.1432-1436.
Citation Information
E. S. Jungheim, Ginny L. Ryan, E. D. Levens, A. F. Cunningham, et al.. "Embryo transfer practices in the United States: a survey of clinics registered with the Society for Assisted Reproductive Technology" Fertility and sterility Vol. 94 Iss. 4 (2010) p. 1432 - 1436 ISSN: 1556-5653
Available at: http://works.bepress.com/ginny_ryan/10/