超越规模:通过提供者的视角来导航BMI,试管婴儿候选人和检索设置
Amanda Tjitro1, Lisa Pappas2, Erica Boiman Johnstone3
1Department of OB/GYN, University of Utah Health, 30 N Mario Capecchi Drive, Salt Lake City, UT, 84112, USA. Amanda.tjitro@hsc.utah.edu.
Journal of assisted reproduction and genetics
|August 1, 2025
概括
大多数生殖内分泌学家将患者排除在外,原因是体重指数 (BMI) 或并发症,经常引用麻醉问题. 很少有人提供医院取回服务,尽管高BMI患者的门诊手术是安全的. 普遍的BMI切断是不鼓励的.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 不孕症治疗 不孕症治疗
- 肥胖医学 肥胖医学
背景情况:
- 体重指数 (BMI) 是生殖健康的一个重要因素.
- 在体外受精 (IVF) 协议中经常考虑患者的BMI.
- 在试管婴儿中,BMI管理存在供应商层面的差异.
研究的目的:
- 调查体质指数 (BMI) 标准在体外受精 (IVF) 的应用中提供者层面的差异.
- 了解基于BMI或IVF实践中的并发症患者排除的原因.
主要方法:
- 一个横截面电子调查分发给生殖内分泌和不孕症协会的成员.
- 描述性统计和费舍尔的精确测试被用于数据分析.
- 该调查针对827名会员,收到187个回复 (22%的回复率).
主要成果:
- 在接受调查的诊所中,有84%的诊所在过去一年中至少排除了一名患者,原因是BMI或并发症.
- 86%的提供者使用BMI切割值,最常见的是≥40,主要是由于麻醉问题.
- 只有11%的提供者进行医院检索;障碍包括缺乏移动胚胎实验室,患者成本和安排.
结论:
- 大多数接受调查的生殖内分泌学家 (REI) 基于BMI或并发症排除患者,这通常与手术/麻醉方面的考虑有关.
- 医院取回不常见,但对于BMI≥40的女性,门诊手术被认为是安全的.
- 该研究倡导反对普遍的BMI切断,建议简化转诊和进一步研究体重管理和试管婴儿的成本效益.
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