Comparison of chemical pregnancy rates according to the anesthetic method during ultrasound-guided transvaginal oocyte retrieval for in vitro fertilization: a retrospective study

Background Oocyte retrieval is the most important procedure in in vitro fertilization (IVF). Various anesthetic methods are used to control a patient’s anxiety and pain during IVF; however, there are no recommended anesthetic methods at present. In this study, we retrospectively investigated chemica...

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Main Authors: Hyun Joo Heo, Yu Yil Kim, Ji Hye Lee, Han Gyeol Lee, Seung Min Baek, Ki Man Kim
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2020-01-01
Series:Anesthesia and Pain Medicine
Subjects:
Online Access:http://www.anesth-pain-med.org/upload/pdf/APM-15-049.pdf
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author Hyun Joo Heo
Yu Yil Kim
Ji Hye Lee
Han Gyeol Lee
Seung Min Baek
Ki Man Kim
author_facet Hyun Joo Heo
Yu Yil Kim
Ji Hye Lee
Han Gyeol Lee
Seung Min Baek
Ki Man Kim
author_sort Hyun Joo Heo
collection DOAJ
description Background Oocyte retrieval is the most important procedure in in vitro fertilization (IVF). Various anesthetic methods are used to control a patient’s anxiety and pain during IVF; however, there are no recommended anesthetic methods at present. In this study, we retrospectively investigated chemical pregnancy rates according to the anesthetic method used for oocyte retrieval. Methods We reviewed records of patients who underwent oocyte retrieval between January 1, 2012 and December 31, 2017. Patients were divided into the spinal anesthesia (SA) and monitored anesthesia care (MAC) groups. The primary outcome was chemical pregnancy rate after IVF. Results The study included 95 patients. SA was administered in 77 (81%) and MAC in 18 (19%). The overall chemical pregnancy rate was 32.6% (31/95). According to the anesthetic method, the pregnancy rate was 32.5% (25/77) in the SA group and 33.3% (6/18) in the MAC group. There was no statistical difference in the pregnancy rate between the groups (P = 0.575). The procedural time was significantly shorter in the SA group than in the MAC group (P < 0.001). Conclusions Chemical pregnancy rates were not significantly different between the SA and MAC groups. However, the procedure duration was shorter in the SA group than in the MAC group.
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spelling doaj.art-d808210f7f3e47f48e01f379cdf60f592023-05-17T05:28:54ZengKorean Society of AnesthesiologistsAnesthesia and Pain Medicine1975-51712383-79772020-01-01151495210.17085/apm.2020.15.1.49979Comparison of chemical pregnancy rates according to the anesthetic method during ultrasound-guided transvaginal oocyte retrieval for in vitro fertilization: a retrospective studyHyun Joo Heo0Yu Yil Kim1Ji Hye Lee2Han Gyeol Lee3Seung Min Baek4Ki Man Kim5Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, KoreaDepartment of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, KoreaDepartment of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, KoreaDepartment of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, KoreaDepartment of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, KoreaDepartment of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, KoreaBackground Oocyte retrieval is the most important procedure in in vitro fertilization (IVF). Various anesthetic methods are used to control a patient’s anxiety and pain during IVF; however, there are no recommended anesthetic methods at present. In this study, we retrospectively investigated chemical pregnancy rates according to the anesthetic method used for oocyte retrieval. Methods We reviewed records of patients who underwent oocyte retrieval between January 1, 2012 and December 31, 2017. Patients were divided into the spinal anesthesia (SA) and monitored anesthesia care (MAC) groups. The primary outcome was chemical pregnancy rate after IVF. Results The study included 95 patients. SA was administered in 77 (81%) and MAC in 18 (19%). The overall chemical pregnancy rate was 32.6% (31/95). According to the anesthetic method, the pregnancy rate was 32.5% (25/77) in the SA group and 33.3% (6/18) in the MAC group. There was no statistical difference in the pregnancy rate between the groups (P = 0.575). The procedural time was significantly shorter in the SA group than in the MAC group (P < 0.001). Conclusions Chemical pregnancy rates were not significantly different between the SA and MAC groups. However, the procedure duration was shorter in the SA group than in the MAC group.http://www.anesth-pain-med.org/upload/pdf/APM-15-049.pdfanesthesiain vitro fertilizationoocyte retrieval
spellingShingle Hyun Joo Heo
Yu Yil Kim
Ji Hye Lee
Han Gyeol Lee
Seung Min Baek
Ki Man Kim
Comparison of chemical pregnancy rates according to the anesthetic method during ultrasound-guided transvaginal oocyte retrieval for in vitro fertilization: a retrospective study
Anesthesia and Pain Medicine
anesthesia
in vitro fertilization
oocyte retrieval
title Comparison of chemical pregnancy rates according to the anesthetic method during ultrasound-guided transvaginal oocyte retrieval for in vitro fertilization: a retrospective study
title_full Comparison of chemical pregnancy rates according to the anesthetic method during ultrasound-guided transvaginal oocyte retrieval for in vitro fertilization: a retrospective study
title_fullStr Comparison of chemical pregnancy rates according to the anesthetic method during ultrasound-guided transvaginal oocyte retrieval for in vitro fertilization: a retrospective study
title_full_unstemmed Comparison of chemical pregnancy rates according to the anesthetic method during ultrasound-guided transvaginal oocyte retrieval for in vitro fertilization: a retrospective study
title_short Comparison of chemical pregnancy rates according to the anesthetic method during ultrasound-guided transvaginal oocyte retrieval for in vitro fertilization: a retrospective study
title_sort comparison of chemical pregnancy rates according to the anesthetic method during ultrasound guided transvaginal oocyte retrieval for in vitro fertilization a retrospective study
topic anesthesia
in vitro fertilization
oocyte retrieval
url http://www.anesth-pain-med.org/upload/pdf/APM-15-049.pdf
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