African Journal for Infertility and Assisted Conception最新文献_第2页

Reproductive outcomes and predictors for success following hysteroscopic tubal cannulation for proximal tubal disease 输卵管近端疾病宫腔镜输卵管插管后的生殖结果和成功的预测因素

African Journal for Infertility and Assisted Conception Pub Date : 2020-01-01 DOI: 10.4103/ajiac.ajiac_7_20

S. Dobson, Elizabeth Halley, J. Skull, M. Metwally, B. Ola

{"title":"Reproductive outcomes and predictors for success following hysteroscopic tubal cannulation for proximal tubal disease","authors":"S. Dobson, Elizabeth Halley, J. Skull, M. Metwally, B. Ola","doi":"10.4103/ajiac.ajiac_7_20","DOIUrl":"https://doi.org/10.4103/ajiac.ajiac_7_20","url":null,"abstract":"Context: Tubal factor sub-fertility accounts for approximately 12% of IVF treatment cycles performed in the UK. Current data suggests that following hysteroscopic tubal cannulation, patients can expect a comparable LBR of 22% and spontaneous CPR of 25-27%, versus a LBR of 21% and CPR of 36.3% per cycle of IV. Our study is a l retrospective study, looking at reproductive outcomes after hysteroscopic cannulation of proximal tubal disease. Aims: investigate the effectiveness of hysteroscopic tubal cannulation (HTC) for the treatment of patients with proximal tubal obstruction (PTO). Settings and Design: Retrospective study. Methods: All patients underwent HTC for either unilateral (n= 53) or bilateral PTO (n= 33) between 2009 and 2018. Fertility outcomes were collected over following 24 months. Results: Overall CPR and live birth rate (LBR) following successful HTC was 26.9% and 22.2% respectively. Patients aged 20-35 years achieved a significantly higher CPR (38.5% vs 8.33%; Odds ratio (OR) 6.875; 95% confidence interval (CI) 1.41-33.54) and LBR (30.8% vs 8.3% OR 5.5; 95% CI 1.118-27.1) compared to 36-45 year-olds.","PeriodicalId":348163,"journal":{"name":"African Journal for Infertility and Assisted Conception","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134640130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenges with assisted reproductive technology (ART) in sub-Saharan Africa 撒哈拉以南非洲辅助生殖技术面临的挑战

African Journal for Infertility and Assisted Conception Pub Date : 2019-01-01 DOI: 10.4103/ajiac.ajiac_8_22

P. Fiebai, J. Ikimalo

{"title":"Challenges with assisted reproductive technology (ART) in sub-Saharan Africa","authors":"P. Fiebai, J. Ikimalo","doi":"10.4103/ajiac.ajiac_8_22","DOIUrl":"https://doi.org/10.4103/ajiac.ajiac_8_22","url":null,"abstract":"Sub-Saharan Africa is one of the regions with the highest prevalence of infertility in the world. Despite the high prevalence of infertility in sub-Saharan Africa, it is the region with the least number of assisted reproductive technology (ART) facilities in the world. The challenges facing the rapid development of ART in sub-Saharan Africa stem from the socioeconomic, political, religious, and cultural background and the ethical issues surrounding the practice of ART. The establishment of ART centers in this subregion is a welcome development because it creates awareness and improves access to care and follow-up with the technological advancements in other regions of the world. However, the society has the responsibility to ensure that the advances made through ART are implemented in a socially responsible and acceptable manner. National governments should address the infrastructural problems such as power, roads, security, manufacturing, importation clearance, and healthcare facilities in their subregions. At the regional levels, training centers should be established across the region for proper formal training for all cadres of ART practitioners—doctors, embryologists, nurses, counsellors, and administrative staff. The governments of the various countries in sub-Saharan Africa should encourage, regulate, and control the practices of ART in line with local sociocultural norms.","PeriodicalId":348163,"journal":{"name":"African Journal for Infertility and Assisted Conception","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123471457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are there possible predictors of pain during office hysteroscopy among infertile women in Port Harcourt Nigeria? 在尼日利亚哈科特港不孕妇女的宫腔镜检查中是否存在疼痛的可能预测因素?

African Journal for Infertility and Assisted Conception Pub Date : 2019-01-01 DOI: 10.4103/ajiac.ajiac_2_20

Kennedy Nyengidiki, V. Oriji, Inusa Amike

{"title":"Are there possible predictors of pain during office hysteroscopy among infertile women in Port Harcourt Nigeria?","authors":"Kennedy Nyengidiki, V. Oriji, Inusa Amike","doi":"10.4103/ajiac.ajiac_2_20","DOIUrl":"https://doi.org/10.4103/ajiac.ajiac_2_20","url":null,"abstract":"Context: Invasive office procedures such as office hysteroscopy are usually carried out without analgesia as they are thought to cause minimal or no pain to the patient. Hysteroscopy has been found to be a cause of significant pain in some patients. Aims: To determine factors inherent in infertile patients experiencing pain during office hysteroscopy in Port Harcourt, Nigeria. Settings and Design: A cross-sectional comparative study amongst infertile women undergoing office hysteroscopy. Methods and Material: Assessment of Pain perceptions using a numerical pain scale in 101 women following office hysteroscopy. Demographic, Social, and gynecological factors of these patients were analysed for association with to pain perception. Statistical Analysis Used: Bivariate logistic regression analysis was conducted for associations between pain perception and suspected factors with P≤ 0.05 as statistically significant. Results: The mean age of the patients was 35.95±4.65 years. 53(52.5%) and 48(47.5%) of the patients experienced moderate/severe pain and mild/no pain respectively. Moderate/severe pain in participants was not associated with age, parity, type or period of infertility, dysmenorrhea or previous pregnancy terminations. However, it was associated with education below secondary level (OR=1.82; P value=0.21, 95%CI 0.81-4.11) and over one previous miscarriages (OR=1.11, P value = 0.948.;95% CI 0.51-2.43). Conclusions: Moderate/severe pains at office hysteroscopy occurred in more than one half of the patients increased risk of pain occurred in patients with miscarriages and those with less than secondary education. We recommend analgesia for patients undergoing office hysteroscopy.","PeriodicalId":348163,"journal":{"name":"African Journal for Infertility and Assisted Conception","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124592350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Regulation of assisted reproductive technology (ART) in Nigeria 尼日利亚辅助生殖技术(ART)的监管

African Journal for Infertility and Assisted Conception Pub Date : 2019-01-01 DOI: 10.4103/ajiac.ajiac_9_22

P. Fiebai, K. Green

引用次数: 0

AFRH Conference 2019 Abstracts AFRH会议2019摘要

African Journal for Infertility and Assisted Conception Pub Date : 2019-01-01 DOI: 10.4103/2468-8452.322999

引用次数: 0

Enforcement of In vitro fertilization standards among practitioners of ART in Nigeria 尼日利亚抗逆转录病毒治疗从业者执行体外受精标准的情况

African Journal for Infertility and Assisted Conception Pub Date : 2019-01-01 DOI: 10.4103/ajiac.ajiac_5_20

R. Ajayi

引用次数: 0

Counseling in assisted reproductive technology 辅助生殖技术咨询

African Journal for Infertility and Assisted Conception Pub Date : 2019-01-01 DOI: 10.4103/ajiac.ajiac_2_21

Etang Abang

引用次数: 0

Fetal self-defense or maternal immune tolerance 胎儿自卫或母体免疫耐受

African Journal for Infertility and Assisted Conception Pub Date : 2019-01-01 DOI: 10.4103/ajiac.ajiac_8_20

M. Raturi

引用次数: 0

A rare case of 46XX,t(X;11)(q24;q23.3) with premature ovarian insufficiency 罕见46XX例，t(X;11)(q24;q23.3)伴卵巢功能不全

African Journal for Infertility and Assisted Conception Pub Date : 2016-07-01 DOI: 10.4103/ajiac.ajiac_9_17

Kanchan Murarka, D. Goenka, M. L. Goenka, Parth Shah

引用次数: 0

Assisted reproductive technology: Experience from a public tertiary institution in north central Nigeria 辅助生殖技术:尼日利亚中北部一所公立高等教育机构的经验

African Journal for Infertility and Assisted Conception Pub Date : 2016-07-01 DOI: 10.4103/ajiac.ajiac_3_17

L. Omokanye, A. Olatinwo, L. Saadu, S. Biliaminu, K. Durowade, A. Panti

{"title":"Assisted reproductive technology: Experience from a public tertiary institution in north central Nigeria","authors":"L. Omokanye, A. Olatinwo, L. Saadu, S. Biliaminu, K. Durowade, A. Panti","doi":"10.4103/ajiac.ajiac_3_17","DOIUrl":"https://doi.org/10.4103/ajiac.ajiac_3_17","url":null,"abstract":"Background: According to the World Health Organization, more than 180 million couples globally suffer from infertility, the majority being residents of developing countries. Assisted reproductive technologies (ARTs) offer a chance at parenthood to couples, who until recently would have had no hope of having a “biologically related” child. Objectives: This study aimed to determine pregnancy outcomes following assisted conception. Materials and Methods: This is a prospective study of 104 clients who underwent the procedure of ART between January 1, 2012 and December 31, 2016 at the ART unit of University of Ilorin Teaching Hospital, Ilorin, Nigeria. Results: Of the 510 clients who had infertility consultation at the ART clinic, 104 (20.4%) underwent ART procedures. The patients aged 27–46 years with a mean age of 33 ± 4.0 years. More than half (58.7%) had primary infertility. Their duration of infertility ranged from 1 to 20 years (4.6 ± 2.9 years). Majority (81.7%) had conventional in vitro fertilization while 19 (18.3%) had intracytoplasmic sperm injection. Thirteen (12.5%) cases of cycle cancellation and 11 (11.7%) cases of mild-to-moderate ovarian hyperstimulation syndrome were recorded. The clinical pregnancy rate per cycle started was 39.4%. However, 9/41 (22%) resulted in spontaneous miscarriages and 32 (6 sets of twin, 25 singleton, and 1 high-order multiple births) were successfully delivered, giving a live birth rate per cycle started of 30.8%. Pregnancy outcomes were not significantly affected by age of the women, types of infertility, and duration of infertility (P > 0.05). Conclusion: The outcomes of ART procedures in a resource-limited country like ours are encouraging. This underscores the need to encourage ART in public tertiary institutions in Nigeria through the support of government and nongovernmental organizations for the benefit of infertile couples who were hitherto hopeless.","PeriodicalId":348163,"journal":{"name":"African Journal for Infertility and Assisted Conception","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129565379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2