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The Journal of Obstetrics and Gynecology of India
Published in: The Journal of Obstetrics and Gynecology of India 6/2015

01-12-2015 | Original Article

Minimizing the Risk of Infection and Bleeding at Trans-Vaginal Ultrasound-Guided Ovum Pick-up: Results of a Prospective Web-Based World-Wide Survey

Authors: Harish Bhandari, Rina Agrawal, Ariel Weissman, Gon Shoham, Milton Leong, Zeev Shoham

Published in: The Journal of Obstetrics and Gynecology of India | Issue 6/2015

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Abstract

Objective

The objective of this study was to identify clinical practices worldwide, which would help in recognizing women at risk of excessive bleeding or of developing pelvic infection following trans-vaginal ovum pick-up (TV-OPU), measures taken to minimize risks and their management.

Method

A prospective, web-based questionnaire with distinct questions related to the practice of TV-OPU.

Results

A total of 155 units from 55 countries performing 97,200 IVF cycles annually responded to this web-based survey. A majority (65 %) responded that they would routinely carry out full blood count, while 35 % performed coagulation profile. Less than a third agreed screening women for vaginal infections. About a third used both sterile water and antiseptic to minimize ascending infection, and 52 % used antibiotics for prophylaxis. Doppler ultrasound was routinely used by 20 % of clinicians. 73 % of the clinicians preferred conservative management as their first line management for patients diagnosed with intra-abdominal bleeding.

Conclusion

The study has identified a wide variation in the practices of minimizing infection and bleeding complications. The dearth of good quality evidence may be responsible for the lack of published guidelines, and therefore a lack of consensus on the optimum practice for minimizing the risk of infection and bleeding during TV-OPU.
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Metadata
Title
Minimizing the Risk of Infection and Bleeding at Trans-Vaginal Ultrasound-Guided Ovum Pick-up: Results of a Prospective Web-Based World-Wide Survey
Authors
Harish Bhandari
Rina Agrawal
Ariel Weissman
Gon Shoham
Milton Leong
Zeev Shoham
Publication date
01-12-2015
Publisher
Springer India
Published in
The Journal of Obstetrics and Gynecology of India / Issue 6/2015
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI
https://doi.org/10.1007/s13224-014-0619-z

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