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Human Reproduction, Vol. 10, No. 3, pp. 563-567, 1995
© 1995 European Society of Human Reproduction and Embryology

research-article

Infertility: Results of decentralized in-vitro fertilization treatment with transport and satellite clinics

J. Roest1, A. Verhoeff, M. van Lent, G.J. Huisman2 and G.H. Zeilmaker3

Department of Obstetrics and Gynaecology Zuiderziekenhuis, Groene Hilledijk 315, 3075 EA Rotterdam 2IVF Laboratory, Department of Obstetrics and Gynaecology, University Hospital Rotterdam Dijkzigt, Dr. Molewaterplein 40, 3015 GD Rotterdam 3Department of Endocrinology and Reproduction, Erasmus University Dr. Molewaterplein 50, 3015 GD Rotterdam, The Netherlands

Correspondence: 1To whom correspondence should be addressed at: Department of Obstetrics and Gynaecology, Zuiderziekenhuis, Groene Hilledijk 315, 3075 EA Rotterdam, The Netherlands

The results of in-vitro fertilization (IVF) treatments carried out in a university IVF centre are compared with those obtained following 15–40 min transportation of oocytes from a transport IVF clinic to the central IVF laboratory of the university centre. Moreover, treatment results following monitoring of ovarian stimulation in satellite clinics, combined with ovum retrieval at the transport clinic and transport of oocytes to the central IVF laboratory, are described. In a total of 5540 IVF treatment cycles, 24–26% of viable pregnancies per embryo transfer were found in the three groups. Comparison of results, obtained with the three different treatment modalities, showed no negative influences of transporting oocytes from transport clinic to IVF laboratory and of monitoring ovarian stimulation in satellite clinics. It is concluded that decentralization of the clinical phase of IVF treatment is possible. This leads to a more optimal use of existing laboratory facilities in large urban areas. It is stressed that good communication between satellite clinic, transport clinic and IVF laboratory is necessary for a decentralized IVF programme. To obtain good quality assurance, both the satellite clinic and the transport clinic must adhere to the same protocol.

Key words: decentralized IVF/satellite clinics/transport IVF


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