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Human Reproduction, Vol. 9, No. 5, pp. 812-814, 1994
© 1994 European Society of Human Reproduction and Embryology

research-article

Day care management of severe ovarian hyperstimulation syndrome avoids hospitalization and morbidity

Pankaj Shrivastav1, Prashant Nadkarni and Ian Craft

Dubai Gynaecology & Fertility Centre Post Box 8729, Dubai, United Arab Emirates

Correspondence: 1To whom correspondence should be addressed

Severe ovarian hyperstimulation syndrome (OHSS) is a dreaded complication of ovulation mductlon for assisted reproduction treatment. In the past, conservative management has been recommended and this leads to prolonged hospitalization. A total of 18 patients who developed severe OHSS were managed according to two protocols. The first group (n=8) was managed conservatively with hospitalization, i.v. hydration and supportive therapy. The average duration of hospitalization was 11 days and the patients were uncomfortable throughout. A second group (n=10) was managed on an out-patient basis with early, ultrasound-guided trans-abdominal paracentesis. While the patient was hydrated intravenously, 1–3 I of fluid were removed over 2–3 h. The duration of hospitalization was between 6 and 7 h and no in-patient stay was required. Prompt relief of symptoms was reported and none of the patients required re-tapping. Pregnancy was achieved in 68% of all patients. Day care management with easy abdominal paracentesis was found to be simple, safe and effective; patients found it more acceptable as it avoided in-patient hospitalization.

Key words: day care management/early paracentesis/intravenous hydration/severe ovarian hyperstimulation syndrome


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