comparative study between general anesthesia and conscious sedation for oocyte retrieval on hemodynamic recovery and oocyte quality

Abstract

Background: In vitro fertilization (IVF) is a four-stage procedure, ovarian stimulation and monitoring, oocyte retrieval, fertilization and embryo transfer. Transvaginal ultrasound–guided follicle aspiration is the most common method for oocyte retrieval in assisted reproductive technologies, it is increasingly performed as an outside procedure. Objective: To compare between general Anesthesia and Conscious Sedation according to Oocyte Retrieval on hemodynamic recovery and oocyte quality. Methods: Seventy women underwent oocyte retrieval in the period from November 2021 till June 2022 at High Institute of Infertility Diagnosis and Assisted Reproductive Technique, Reproductive Physiology, Al-Nahrain University in Baghdad, Iraq, were included in this study. Results: Mean time needed for operation was 9.06± 1.39 minutes in conscious group and 9.84± 1.11 minutes in GA group, and the recovery time needed was 2.31± 0.47 hours in conscious group and 10.78± 1.87hours in GA group. Conclusion: Significant decrease in duration of operation in conscious group than that in general anesthesia group (P=0.01), moreover, highly significant decrease in recovery time in conscious group than that in GA group (P<0.001)