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Minimizing the Risk of Infection and Bleeding at Trans-Vaginal Ultrasound-Guided Ovum Pick-up: Results of a Prospective Web-Based World-Wide Survey (Nov 2014)

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Title:
Minimizing the Risk of Infection and Bleeding at Trans-Vaginal Ultrasound-Guided Ovum Pick-up: Results of a Prospective Web-Based World-Wide Survey
Journal:
The Journal of Obstetrics and Gynecology of India, December 2015, Volume 65, Issue 6, pp 389–395
Author(s):
Bhandari H1, Agrawal R1, Weissman A2, Shoham G3, Leong M4, Shoham Z5
Author(s) affiliation:
1Centre for Reproductive Medicine, University Hospitals of Coventry and Warwickshire NHS Trust, Coventry, Warwickshire CV2 2DX UK ; The University of Warwick, Coventry, Warwickshire UK.
2IVF Unit, Department of Obstetrics and Gynaecology, Edith Wolfson Medical Center, Holon, Israel ; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
3Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
4IVF Center, The Hong Kong Sanatorium and Hospital, Happy Valley, Hong Kong, China.
5The Reproductive Medicine Unit, Kaplan Medicine Center, Rehovot, Israel ; Hadassah Medical School, Affiliated to the Hebrew University, Jerusalem, Israel.
 

 

Short description:
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.
Link to the journal
 

 

Abstract taken from PubMed

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.
Methods:
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.
Conclusions:
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.
Link to the paper on PubMed
 




 

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