Minimizing the Risk of Infection and Bleeding at Trans-Vaginal Ultrasound-Guided Ovum Pick-up: Results of a Prospective Web-Based World-Wide Survey

被引：9
作者：
Bhandari H. [1 ,2 ]
Agrawal R. [1 ,2 ]
Weissman A. [3 ,4 ]
Shoham G. [4 ,5 ]
Leong M. [6 ]
Shoham Z. [7 ,8 ]
机构：
[1] Centre for Reproductive Medicine, University Hospitals of Coventry and Warwickshire NHS Trust, Coventry, CV2 2DX, Warwickshire
[2] The University of Warwick, Coventry, Warwickshire
[3] IVF Unit, Department of Obstetrics and Gynaecology, Edith Wolfson Medical Center, Holon
[4] Tel Aviv University, Tel Aviv
[5] Sackler School of Medicine, Tel Aviv University, Tel Aviv
[6] IVF Center, The Hong Kong Sanatorium and Hospital, Happy Valley, Hong Kong
[7] The Reproductive Medicine Unit, Kaplan Medicine Center, Rehovot
[8] Hadassah Medical School, Affiliated to the Hebrew University, Jerusalem
来源：
The Journal of Obstetrics and Gynecology of India | 2015年 / 65卷 / 6期
关键词：
Bleeding; Complications; In-vitro fertilization; Infection; Ovum pick-up;
D O I：
10.1007/s13224-014-0619-z
中图分类号：
学科分类号：
摘要：
Objective: The objective of this study was to identify clinical practices worldwide, which would help in recognizing women at risk of excessive bleeding or of developing pelvic infection following trans-vaginal ovum pick-up (TV-OPU), measures taken to minimize risks and their management. Method: A prospective, web-based questionnaire with distinct questions related to the practice of TV-OPU. Results: A total of 155 units from 55 countries performing 97,200 IVF cycles annually responded to this web-based survey. A majority (65 %) responded that they would routinely carry out full blood count, while 35 % performed coagulation profile. Less than a third agreed screening women for vaginal infections. About a third used both sterile water and antiseptic to minimize ascending infection, and 52 % used antibiotics for prophylaxis. Doppler ultrasound was routinely used by 20 % of clinicians. 73 % of the clinicians preferred conservative management as their first line management for patients diagnosed with intra-abdominal bleeding. Conclusion: The study has identified a wide variation in the practices of minimizing infection and bleeding complications. The dearth of good quality evidence may be responsible for the lack of published guidelines, and therefore a lack of consensus on the optimum practice for minimizing the risk of infection and bleeding during TV-OPU. © 2014, Federation of Obstetric & Gynecological Societies of India.
引用
收藏
页码：389 / 395
页数：6
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