CLINICO-SCIENTIFIC ANALYSIS SUMMARIZING THE WORK OF THE DEPARTMENT FOR ASSISTED REPRODUCTIVE TECHNOLOGY FOR THE YEAR 2011

In the frame work of performing state assignment in providing High-Tech Medical Care to citizens of the Russian Federation, subsidiary federal funds had been allocated to the leading Research Center for Obstetrics, Gynecology and Perinatology where close to 2000 programs are being implemented in Assisted Reproductive Technology yearly. Current clinico-scientific analysis is a vivid example of organizational work and medical aspects of various programs conducted by 11 physicians and 3 embryologists of the department for Assisted Reproductive Technology (ART) at the Research Center. The leading methods employed for women undergoing superovulation: were short with antagonists -67%, with that including “soft” protocols in patients with high risk of developing Ovarian Hyperstimulation Syndrome (OHSS), short with antagonists of GnRH- 15%, long with antagonists of GnRH- 18%. The effectiveness of IVF program in 2011 with regard to transfer of embryos was equal to -31.5%. Out of these: after successful IVF pregnancy was established in 31.5% of cases; with intro-cytoplasmic sperm injection (ICSI) method- 32.2% of cases. Diagnosis of twin pregnancy was observed in 11.2% cases, which added extra confidence about good quality of embryo transfer and adequate readiness of endometrium achieved by the team. Despite excellent results achieved with IVF program, we are often faced with difficulties in patients receiving treatment through HTM having lack of communication between federal Center and Regional centers; inability to receive consultation directly with the export; inaccurate or missing records for IVF contraindications in patient’s discharge paperwork; lack of prior preparation of a patient which leads to decrease effectiveness of treatment. Therefore, an adequately organized help to patients suffering from infertility and highly advanced technological treatment options are one of main factors today that will serve as a successful foundation for treatment of infertility. Together with the Assisted Reproductive Technologies we can count on our reserve of giving birth to long desired pregnancies and perspective increase in higher reproductive potential of the nation.

High-Tech Medical Care, Russian Federation, in vitro fertilization, assisted reproductive technology, embryo transfer