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Acceptance of HIV-infected patients in assisted reproductive technique protocols
Y Manigart1, C Autin, S Rozenberg
1Fertility Clinic, CHU Saint-Pierre, Université Libre de Buxelles, 322 rue Haute, 1000 Brussels, Belgium.
Objective:
To assess the adequacy of a multidisciplinary approach providing information to couples affected by HIV before ART.
Design:
Prospective observational study.
Setting:
RT centre and infectious disease clinic, public university hospital.
Patients:
50 couples with at least one HIV-infected partner.
Interventions:
Multidisciplinary approach towards ART by various intervening physicians (specialist in fertility, infectious diseases, paediatrics, obstetrics, psychiatry).
Main Outcome Measured:
We analysed specifically the cases in which the staff did not accept and the patient's compliance to the counselling procedures.
Results:
Among the 150 couples, 30 did not complete the procedure and were lost to follow-up. The remaining 120 couples were evaluated: 89 couples were accepted, 5 were temporarily refused and 26 were refused definitively. The major reasons for refusal were medical reasons (n=13).
Conclusion:
Because of the high refusal rate and the drop of rate, a multidisciplinary approach is mandatory before initiating ART in seropositive couples.
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