O706 Patients' preference for number of embryos transferred during IVF/ICSI – A Nigerian experience

Okohue, Jude Ehiabhi; Onuh, SO; Ikimalo, JI; Wada, Ikuo

doi:10.1016/s0020-7292(09)61079-1

Cited by 8 publications

(14 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Whereas the cost of IVF or ICSI is about 4000 to 5000 US dollars at private clinics in Nigeria [19], good responders only paid about 3000 US dollars at our Unit (the poor responders needed more drugs and therefore paid more). In Uganda, the cost of IVF or ICSI-always at private clinics-is 3500 US dollars [20], and in Mali it varies between 5000 and 6000 US dollars [21].…”

Section: Discussionmentioning

confidence: 98%

In vitro fertilization at a public hospital in Nigeria

Orhue

Aziken

Osemwenkha

et al. 2012

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 98%

In vitro fertilization at a public hospital in Nigeria

Orhue

Aziken

Osemwenkha

et al. 2012

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…The practice of multiple embryo transfers (>2 embryos) amongst invitro-fertilization practitioners in Nigeria is accountable for the high occurrence of high-order multiple pregnancies [8] [9]. It is reported that Nigerian mothers welcome and anticipates multifetal pregnancies from invitro-fertilization treatments [7]. However, in wishing multiple pregnancies, these women may not have experienced the adverse medical, financial and socioeconomic effects associated with high-order multiple pregnancies.…”

Section: Discussionmentioning

confidence: 99%

“…Infertility may induce the desire to have multiple pregnancies in women having such challenges. In Nigeria, the desire for multiple pregnancies, in infertile women, has been documented [7] and fertility practitioners readily transfer over two embryos during in vitro-fertilization and embryo transfer (IVF-ET) treatment cycles with attendant increase in multiple pregnancies [8] [9].…”

Section: Introductionmentioning

confidence: 99%

Adverse Maternal Outcomes in High-Order Multiple Pregnancies in a Private Health Facility in Nigeria: A 10-Year Experience

Oriji¹,

Nyeche²

2020

JBM

View full text Add to dashboard Cite

Background: Naturally occurring high-order multiple (HOM) pregnancies are rare (1 -7 per 10,000) even in Nigeria noted to have the highest twinning rates. Worldwide multiple pregnancies are increasing and are associated with increased adverse maternal outcomes. Materials and Methods: This was a retrospective study of all patients with HOM pregnancy in Prime Medical Consultants between Jan 2004 to Dec 2013. We identified all the patients with high-order multiple pregnancy and extracted relevant data from the ante-natal and labour ward records, theatre records, and patients case notes. Demographic characteristics, gestational age at delivery, preterm rupture of membranes, preterm labour, hypertensive disease in pregnancy, proteinuria, anaemia, and postpartum haemorrhage were data extracted from the records. Results: The incidence of HOM pregnancy in this hospital was 0.24%. The mean maternal age was 35.7 ± 1.81 years. Over 85% of all the high-order multiple pregnancies in this hospital were from in-vitro fertilization and embryo transfer treatments for infertility. About 11% of the HOM pregnancy ended as spontaneous miscarriages. The mean gestational age at birth was 31 ± 1.5 weeks, and primary postpartum haemorrhage (22.2%) was the most common maternal adverse outcome from birth. Conclusion: The high incidence of HOM pregnancy in this hospital was mainly from in-vitro fertilization and embryo transfer. The HOM pregnancies are associated with high occurrence of preterm labour, caesarean sections and primary postpartum haemorrhage.

show abstract

“…A majority of couples undergoing infertility treatments consider twins the best outcome (28,33,(62)(63)(64)(65)(66)(67). Whatever their geographic origin, U.S., Europe, Australia, or Africa, more than 50% prefer to have twins, because they want their children to have a sibling, they have a positive attitude towards having twins, they want to have as few treatments as possible (64,68), they have long-time infertility (65) and they have fears regarding the female partner's age (64). Being nulliparous and desiring to limit infertility treatment costs are also reasons to prefer twins (28,66).…”

Section: Con 3 Jean Parinaud MD Phdmentioning

confidence: 99%