Nancarrow, Lewis, Tempest, Nicola 
ORCID: 0000-0002-5209-2985, Drakeley, Andrew J, Homburg, Roy, Russell, Richard and Hapangama, Dharani K ORCID: 0000-0003-0270-0150
(2021)
National Survey Highlights the Urgent Need for Standardisation of Embryo Transfer Techniques in the UK.
JOURNAL OF CLINICAL MEDICINE, 10 (13).
2839-.
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National Survey Highlights the Urgent Need for Standardisation of Embryo Transfer Techniques in the UK.pdf - Published version Download (1MB) | Preview |
Abstract
Embryo transfer (ET) is one of the vital steps in the in vitro fertilisation (IVF) process, yet there is wide variation in ET technique throughout the UK, without a nationally approved standardised approach. The aim of this study was to gain contemporaneous information regarding the current clinical ET practice in the UK.<h4>Method</h4>A 38-question electronic survey was distributed to the 79 UK Human Fertilisation and Embryology Authority (HFEA) registered clinics performing ETs.<h4>Results</h4>In total, 59% (47/79) of units responded, 83% (39/47) performing ultrasound-guided transfers, with 42% (20/47) of units using a tenaculum; 22% (10/45) would proceed with transfer regardless of fluid in the endometrial cavity. In 91% (43/47) of units, embryos were deposited in the upper/middle portion of the uterine cavity, but interpretation of this area ranged from 0.5 to >2 cm from the fundus, with 68% (32/47) allowing patients to mobilise immediately after transfer. In 60% (27/45) of clinics, success rates were based on clinical pregnancy rates (CPR).<h4>Conclusion</h4>Within the UK there is a wide range of variability in ET techniques, with >70% of discordance in survey-responses between clinics. Whilst there are areas of good practice, some disadvantageous techniques continue to persist. This survey emphasises the importance of developing a standardised, evidence-based approach to improve ET success rates.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | embryo transfer, survey, standardisation, IVF, in vitro fertilisation |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 23 Sep 2021 13:47 |
| Last Modified: | 27 Jan 2024 03:01 |
| DOI: | 10.3390/jcm10132839 |
| Open Access URL: | https://doi.org/10.3390/jcm10132839 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3138048 |
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