Ultrasonographer experience does not impact outcomes following ultrasound-guided embryo transfer.

Abstract:

OBJECTIVE:To determine the effect of sonographer experience during ultrasound guided embryo transfer on pregnancy outcomes. DESIGN:Retrospective chart review. SETTING:A university-based academic practice. PATIENT(S):A total of 319 women who underwent in vitro fertilization and embryo transfer (IVF-ET) from the site-specific clinic. A total of 118 women (37%) underwent embryo transfers with a medical assistant (inexperienced ultrasonographer) performing ultrasound guidance, and 201 women (63%) underwent embryo transfers by an REI fellow (experienced ultrasonagrapher) performing the US guidance. INTERVENTION(S):Real-time transabdominal ultrasound guidance during IVF-ET. MAIN OUTCOME MEASURE(S):Respective biochemical, clinical, and live birth rates following ultrasound-guided IVF-ET performed by either experienced or nonexperienced sonographers. RESULT(S):The two groups were similar in baseline characteristics or treatment response. Pregnancy outcomes were similar in both groups, with the MA cohort demonstrating clinical pregnancy rate of 43.2% and a live birth rate of 35.6%, and the REI fellow group yielding a clinical pregnancy rate of 44.8% and a live birth rate 35.8%, respectively. CONCLUSION(S):The clinical experience of the person performing ultrasound guidance during IVF-ET does not have an effect on clinical outcome. Thus, the use of an assistant without formal ultrasound training during IVF-ET is a reasonable option.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Harris ID,Styer AK,Petrozza JC

doi

10.1016/j.fertnstert.2008.07.1743

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

918-922

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(08)03260-3

journal_volume

92

pub_type

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