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Initial experience with a risk-sharing in vitro fertilization-embryo transfer program with novel features
Jacques P Stassart1, Romaine B Bayless, Colleen L Casey
1Reproductive Medicine and Infertility Associates, Woodbury, Minnesota 55125, USA. jstassart@rmia.com
Objective:
To describe outcomes of the first 100 consecutive infertility patients participating in a risk-sharing program with uncomplicated eligibility requirements. The program included the costs of FSH-containing gonadotropin preparations and provided a full payment refund if no birth occurred that resulted in a normal infant surviving to an age of 1 month.
Design:
Retrospective cohort study.
Setting:
Private IVF center.
Patient(S):
Infertility patients<35 years of age, considered to be good autologous oocyte IVF candidates at time of program enrollment.
Intervention(S):
Retrospective analysis of outcomes of fresh IVF-ET and frozen embryo transfer cycles involving conventional treatment protocols.
Main Outcome Measure(S):
Cumulative successful pregnancy rate.
Result(S):
Of the first 100 patients enrolled in the program, 82 have had a delivery of a normal infant surviving to an age of 1 month, and another 6 have undelivered ongoing pregnancies at 20+ weeks. Nine participants completed the program without completing a successful treatment cycle, and another three remain enrolled.
Conclusion(S):
Infertility patients<35 years of age participating in a risk-sharing program with uncomplicated eligibility requirements are very likely to have a successful pregnancy. Other centers may wish to incorporate some of the described program's features into their own risk-sharing IVF programs.
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