جستجوی مقالات مرتبط با کلیدواژه « assisted » در نشریات گروه « پزشکی »

The incidence of ectopic pregnancy (EP) has increased in recent years, owing to causes such as pelvic inflammatory diseases and assisted reproductive technologies (ART). The present study reported a case of a 33-year-old nulliparous woman with a history of previous ectopic pregnancies, who underwent pelvic ultrasound in August 2022, which revealed a double EP including a cervical pregnancy and a tubal stump pregnancy. Despite known risk factors and elevated beta-human chorionic gonadotropin (β-hCG) levels, a conservative approach, utilizing multiple doses of systemic methotrexate (MTX) injections, was employed to preserve fertility at the Regional Perinatal Center in Aktobe, Kazakhstan. Treatment efficacy was monitored through β-hCG levels and ultrasound imaging, with successful resolution of both EPs and preservation of reproductive function. The present case highlighted the safety and efficacy of MTX therapy in managing complex EP presentations, emphasizing the necessity of individualized treatment approaches in reproductive medicine, particularly in terms of preserving fertility in patients undergoing ART. Multiple high doses of MTX injections were beneficial for pregnancy with two distinct regions, fetal cardiac activity, and elevated serum β-hCG level. Further research is required to explore optimal treatment strategies for EP, considering patient-specific factors and treatment goals.

Heterotopic pregnancy (HP) is a rare occurrence in natural pregnancies. However, it can be a life-threatening condition and should be taken into account in all assisted reproductive treatments. Diagnosis and treatment of ectopic pregnancy are challenging issues in patients with HP. Here, we report a rare case of quadruplet HP following an in vitro fertilization-embryo transfer with a viable twin intrauterine pregnancy and ruptured live twin left tubal ectopic pregnancy. A 35-year-old woman (gravida 5, para 1, ectopic pregnancies 2, and abortion 1) was presented to the Emergency Department of Arash Women’s Hospital (Tehran, Iran) in March 2021 with abdominal pain. The patient was at six weeks and five days of pregnancy following in vitro fertilization-embryo transfer. Transvaginal sonography (TVS) revealed a live twin intrauterine pregnancy with a ruptured live twin left tubal ectopic pregnancy. The latter was removed via laparotomy to preserve the intrauterine pregnancy. The patient subsequently delivered a female infant at 38 weeks of pregnancy.

Couples undergoing Assisted Reproductive Techniques (ART) come across various information needs. This study aimed to identify the health information needs of couples undergoing ART.

The methodology of the present applied study was qualitative and the research method was conventional qualitative content analysis performed with the participation of 25 infertile couples under ART. The study took nine months (July 2020 to March 2021). The samples were objectively screened based on the criteria from the couples referred to the infertility center affiliated to Hormozgan University of Medical Sciences (Public) and Ome‑Leila Specialized infertility clinic (Private) in Bandar Abbas (Iran). Data collection was performed by semi‑structured interviews. The typical content analysis method was used in this research. Data analysis was carried out based on coding by the use of MAXQDA a software for qualitative and mixed methods data analysis.

Information needs of couples under ART were categorized into three main categories and ten subcategories: 1) main cause of infertility [feminine or masculine cause, and etiology (nature and origin)], 2) treatment of infertility [identifying ART, treatment success rate, complications and risks (outcomes) of the treatment method, and treatment duration], and 3) healthcare [advice on medication, healthy nutrition (diet), sexual relations, and daily routine].

The results of this study emphasize that the country’s health officials, especially those in charge of the healthcare of infertile couples under ART, must necessarily pay more attention to meeting the needs of this group of people in society.

Today, infertility is a global complication affecting 8%-12% of couples. The use of assisted reproductive techniques (ARTs) gives couples to have taken the home baby chance. In this study, we compare the outcomes of the ARTs after using the standard dose of human chorionic gonadotropin (hCG) hormone and gonadotropin-releasing hormone (GnRh) agonist plus declined dose of hCG for final oocyte maturation in antagonist cycles.

This randomized clinical trial was conducted in Al-Zahra hospital, Tabriz, Iran from June to December 2019 on 100 infertile women who were candidate for in vitro fertilization in two groups: group A received standard dose of hCG and group B received GnRH agonist 0.2 mg and hCG 2500 international unit as dual trigger. The number of oocytes retrieved, embryo obtained, implantation rate, pregnancy rate, and ovarian hyperstimulation syndrome (OHSS) were compared between two groups.

The number of retrieved oocytes in the group B was more than group A (P = 0.024), and the embryo obtained in both groups was similar. The implantation and pregnancy rate in the group B increased compared to group A (P = 0.001). There was no OHSS case in the group B, while in the group A two cases suffered from OHSS.

Dual trigger with GnRH agonist plus declined hCG dose increased the number of retrieved oocytes, implantation, and pregnancy rates and decreased the risk of OHSS compared to standard hCG trigger. The gynecologists should select the best strategy based on the patient’s condition.

The coronavirus disease-2019 (COVID-19), caused by a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is now spread  worldwide. Therefore, informative and reliable data related to the exact effects of COVID-19 on fertility and pregnancy is still of great interest until the pandemic is declared over. General guidelines regarding the protection and management of COVID-19 have been published and new information will continue to be updated daily.

In this review, we summarized clinical health guidelines for reproductive and infertility centers to improve quality management in assisted reproductive technology and minimize the potentially harmful consequences of COVID-19 on pregnancy and fertility.

As specified in the literature, protocols consist of five categories, including protocols for couples, protocols for women, protocols for men, labor and delivery, and postpartum and breastfeeding.

General protocols for patients and staff may vary depending on specific conditions. However, this review provides some rules to ensure their safety against the disease during the pandemic.

Videoinsight® means to gain insight by looking at a work of contemporary art. It focuses on the aim and the psychological effect that are potentially provoked by the interaction with some selected contemporary works of art. The insight promoted by the work of art is the outcome of the activation of transference, of projections and reflections on the artistic product, of the unconscious elaboration that leads to the development of transformation. Videoinsight® is a theoretical concept, a working method and a psychological process. It is based on the experience of exchange and integration between the contemporary artwork and the psychology of individuals who relate to it. Some works of contemporary art provoke and stimulate the psyche and activate psychological mechanisms. They trigger an intellectual and emotional experience: they make us think and feel a certain way. Interacting with selected works of art leads to the development and activation of human potentials. The Videoinsight® method can be applied in prevention, diagnosis, psychological support and psychotherapy for treatment of all psychological and psychosomatic diseases. It has been already applied in Medical Orthopedic Researches for rehabilitation and psychological support