Correlation of technical difficulty during embryo transfer with rate of clinical pregnancy

Aim: To correlate the ease or difficulty of embryo transfer and blood at catheter tip with pregnancy rate when embryo transfer (ET) was performed by the same operator using soft catheter. Materials and Methods: A retrospective analysis of 342 patients who underwent in vitro fertilization or ICSI cyc...

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Main Authors: Neeta Singh, Prerna Gupta, Suneeta Mittal, Neena Malhotra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Journal of Human Reproductive Sciences
Subjects:
Online Access:http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2012;volume=5;issue=3;spage=258;epage=261;aulast=Singh
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author Neeta Singh
Prerna Gupta
Suneeta Mittal
Neena Malhotra
author_facet Neeta Singh
Prerna Gupta
Suneeta Mittal
Neena Malhotra
author_sort Neeta Singh
collection DOAJ
description Aim: To correlate the ease or difficulty of embryo transfer and blood at catheter tip with pregnancy rate when embryo transfer (ET) was performed by the same operator using soft catheter. Materials and Methods: A retrospective analysis of 342 patients who underwent in vitro fertilization or ICSI cycle from January 2008 to December 2010 in a single centre was done. The type of transfer was divided into two groups: ′easy′ or ′difficult′. Transfer was considered difficult when additional instrumentation was required or firmer catheter was used or required changing of catheter. Patients undergoing cryo-preserved ET were excluded from the study. Results: On the day of transfer in 284 (83%) patients, ET was easy and difficulty was encountered in 58 (17%) patients. Blood at catheter was seen in 101 (29.53%) patients. In the group of 58 difficult transfers, 10 pregnancies resulted with a clinical pregnancy rate of 17.2%, while 67 pregnancies resulted in 284 cycles of easy transfer with clinical pregnancy rate of 23.6% (P value = 0.045). While no significant difference was seen in pregnancies with blood on outer catheter and blood less transfer, there was significant reduction in pregnancy rate when blood was present on catheter tip compared to bloodless transfer (13.3% v/s 24.1; P value = 0.032). Conclusion: Reduction in clinical pregnancy rate is seen with difficult ETs, more when blood is present at the catheter tip.
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spelling doaj.art-2f381df3ff464b29b5e8fa185b86965c2022-12-21T21:52:22ZengWolters Kluwer Medknow PublicationsJournal of Human Reproductive Sciences0974-12081998-47662012-01-015325826110.4103/0974-1208.106337Correlation of technical difficulty during embryo transfer with rate of clinical pregnancyNeeta SinghPrerna GuptaSuneeta MittalNeena MalhotraAim: To correlate the ease or difficulty of embryo transfer and blood at catheter tip with pregnancy rate when embryo transfer (ET) was performed by the same operator using soft catheter. Materials and Methods: A retrospective analysis of 342 patients who underwent in vitro fertilization or ICSI cycle from January 2008 to December 2010 in a single centre was done. The type of transfer was divided into two groups: ′easy′ or ′difficult′. Transfer was considered difficult when additional instrumentation was required or firmer catheter was used or required changing of catheter. Patients undergoing cryo-preserved ET were excluded from the study. Results: On the day of transfer in 284 (83%) patients, ET was easy and difficulty was encountered in 58 (17%) patients. Blood at catheter was seen in 101 (29.53%) patients. In the group of 58 difficult transfers, 10 pregnancies resulted with a clinical pregnancy rate of 17.2%, while 67 pregnancies resulted in 284 cycles of easy transfer with clinical pregnancy rate of 23.6% (P value = 0.045). While no significant difference was seen in pregnancies with blood on outer catheter and blood less transfer, there was significant reduction in pregnancy rate when blood was present on catheter tip compared to bloodless transfer (13.3% v/s 24.1; P value = 0.032). Conclusion: Reduction in clinical pregnancy rate is seen with difficult ETs, more when blood is present at the catheter tip.http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2012;volume=5;issue=3;spage=258;epage=261;aulast=SinghClinical pregnancy ratedifficult embryo transferembryo transferin vitro fertilizationmock transfer
spellingShingle Neeta Singh
Prerna Gupta
Suneeta Mittal
Neena Malhotra
Correlation of technical difficulty during embryo transfer with rate of clinical pregnancy
Journal of Human Reproductive Sciences
Clinical pregnancy rate
difficult embryo transfer
embryo transfer
in vitro fertilization
mock transfer
title Correlation of technical difficulty during embryo transfer with rate of clinical pregnancy
title_full Correlation of technical difficulty during embryo transfer with rate of clinical pregnancy
title_fullStr Correlation of technical difficulty during embryo transfer with rate of clinical pregnancy
title_full_unstemmed Correlation of technical difficulty during embryo transfer with rate of clinical pregnancy
title_short Correlation of technical difficulty during embryo transfer with rate of clinical pregnancy
title_sort correlation of technical difficulty during embryo transfer with rate of clinical pregnancy
topic Clinical pregnancy rate
difficult embryo transfer
embryo transfer
in vitro fertilization
mock transfer
url http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2012;volume=5;issue=3;spage=258;epage=261;aulast=Singh
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AT prernagupta correlationoftechnicaldifficultyduringembryotransferwithrateofclinicalpregnancy
AT suneetamittal correlationoftechnicaldifficultyduringembryotransferwithrateofclinicalpregnancy
AT neenamalhotra correlationoftechnicaldifficultyduringembryotransferwithrateofclinicalpregnancy