Waiting for in vitro fertilization treatment: spontaneous and ART live births
Autor: | Brian A. Lieberman, Catriona Farrell, Elizabeth H.E. Pease, Daniel R. Brison, Debbie A. Falconer, Gregory P. Horne |
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Rok vydání: | 2003 |
Předmět: |
Waiting time
Adult Pediatrics medicine.medical_specialty Time Factors Referral media_common.quotation_subject medicine.medical_treatment Fertility Fertilization in Vitro Pregnancy medicine Humans Adverse effect Birth Rate media_common Ivf treatment In vitro fertilisation business.industry Obstetrics and Gynecology General Medicine National health service Treatment Outcome Reproductive Medicine Fertilization Infertility Female business Live birth Maternal Age |
Zdroj: | Human fertility (Cambridge, England). 6(3) |
ISSN: | 1464-7273 |
Popis: | This study analysed the live birth rates in 760 couples referred in 1994 to St Mary's Hospital, Manchester, a non-fee-paying National Health Service (NHS) centre, who had waited for up to 4 years for IVF treatment. These live birth rates were compared with those of 199 couples referred at a similar time to Manchester Fertility Services, a fee-paying unit, where they received IVF treatment shortly after referral. The waiting time was advantageous in that 17.8% (135 of 760) of the couples referred to St Mary's Hospital conceived without IVF treatment, 60% within one year of referral. However, the waiting time was detrimental to women aged 30–34 in whom treatment was delayed by 3–4 years. Only 26.8% (204 of 760) of couples originally referred eventually received NHS-funded IVF treatment at St Mary's. A waiting time not exceeding 18 months would allow most spontaneous conceptions and reduce the adverse effect of prolonged waiting on the take-up rate for treatment and on the chance of success in the older women. |
Databáze: | OpenAIRE |
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