Factors Affecting Pregnancy Rates of in Vitro Fertilization
*Hala Abd El-Fttah Ali, *Ola Mohamed Ebraheem, **Sahar Nagueb Mohamed
* Obstetrics and Gynecology Nursing Department, Faculty of Nursing, Minia University, Egypt.
** Obstetrics and Gynecology Nursing Department, Faculty of Nursing, Assuit University, Egypt.
Abstract: Background: Infertility affects approximately 13-15% of reproductive-aged couples. It is defined as the inability to conceive after 1 year of properly timed, unprotected intercourse. This definition is based on the cumulative probability of pregnancy. While in vitro fertilization IVF is a process by which egg cells are fertilized by sperm outside the body: IVF is a major treatment in infertilitywhen other methods of assisted reproductive technology have failed. Today, IVF is practically a household word. Several factors can affect pregnancy rate of IVF such as age, body mass index and quantity of eggs. Nurses can play important role in success of IVF procedures in the form of counseling to women before and after procedures of IVF. Aim of study: To determine factors affecting pregnancy rates of vitro fertilization including nursing role and evaluate the maternal and neonatal outcomes.Design: A prospective study. Setting: The subjects were treated for infertility by service of Assisted Reproductive Technology (ART) which operating with the same staff and procedures at El Ahram Fertility Center for infertility treatment at El Mansoura City. Sample: 120 simple random study sample studying women undergoing IVF cycle. Tools: Interviewing sheet used for data collection which included, socio demographic data, investigations for couple infertility, causes of couple infertility, maternal and neonatal outcomes. Also body mass index and level of satisfaction were used as a tools.Results: The pregnancy rate was 48 )40(%.While the live birth rate was 39 (81.3%).On the other hand there was significant differences between most factors which affect the success rate between pregnant and non pregnant groups such as age, obesity, some of female hormones and semen analysis parameters, some causes of infertility and nursing role. Methods: This study included (120) women undergoing IVF cycle which start from the second day of menstrual cycle. Starting study from first of October / 2009 to first of January/2011. Ovarian reserve screening tests are done by fertility specialists.Conclusion and recommendations: Of all factors evaluated in IVF process, age of patients, BMI, female hormones, number of fertilized oocytes and number of embryos transferred and nursing role have an effect on the cycle outcome. Length of time embryos are outside a controlled environment is an area that is largely unknown. Further evaluations with a larger number of cases may show a time, if exceeded, that reduces pregnancy outcome, and nursing role during IVF is an area that is largely important.
[Hala Abd El-Fttah Ali, Ola Mohamed Ebraheem, Sahar Nagueb Mohamed. Factors Affecting Pregnancy Rates of in Vitro Fertilization. J Am Sci 2013;9(3):484-495]. (ISSN: 1545-1003).http://www.jofamericanscience.org. 72
Keywords: Factors affecting, success rates, assisted reproductive technology, infertility, nursing role and in Vitro fertilization.