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Assisted reproductive technology in Beijing, 2013-2015
Zehong Zhou1, Lixue Chen2, Hongping Wu2
1Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China; Key Laboratory of Assisted Reproduction, Ministry of Education, Beijing 100191, China; Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing 100191, China.
Reproductive Biomedicine Online
|September 19, 2018
Summary
Assisted reproductive technology (ART) in Beijing shows increasing IVF-ICSI cycles and decreasing IUI cycles, with IVF-ICSI offering better outcomes. Efforts are needed to reduce multiple pregnancies and establish a national ART registry.
Area of Science:
- Reproductive Medicine
- Public Health
- Clinical Outcomes
Background:
- Comprehensive data on assisted reproductive technology (ART) utilization and outcomes in China is lacking.
- Understanding regional ART trends is crucial for improving reproductive healthcare.
- Beijing serves as a key metropolitan area for assessing ART service delivery.
Purpose of the Study:
- To investigate the utilization trends and clinical outcomes of ART in Beijing.
- To identify factors influencing the success rates of different ART procedures.
- To provide data supporting the development of national ART guidelines and registries.
Main Methods:
- Retrospective analysis of intrauterine insemination (IUI), in vitro fertilization (IVF), and intracytoplasmic sperm injection (ICSI) cycles.
- Data collected from all 12 registered ART institutions in Beijing between 2013 and 2015.
- Evaluation of clinical pregnancy rates (CPR) and live birth rates (LBR) for fresh and frozen embryo transfers, as well as IUI.
Main Results:
- IVF-ICSI cycles increased, while IUI cycles decreased from 2013-2015.
- Clinical pregnancy and live birth rates for IVF-ICSI were higher than for IUI.
- Multiple pregnancy rates were significant, particularly with fresh embryo transfers; birth defect rates varied by procedure.
Conclusions:
- IVF-ICSI demonstrates superior and safer outcomes compared to IUI in Beijing.
- Reducing multiple pregnancy rates in ART procedures requires further attention.
- Establishing a nationwide ART registry in China is recommended to facilitate comprehensive data collection and analysis.
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