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10.1016/j.ejogrb.2021.03.023

http://scihub22266oqcxt.onion/10.1016/j.ejogrb.2021.03.023
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suck abstract from ncbi


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pmid33774596      Eur+J+Obstet+Gynecol+Reprod+Biol 2021 ; 260 (ä): 154-158
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  • Communication with fertility patients during the COVID-19 pandemic- let s talk about it #MMPMID33774596
  • Karavani G; Chill HH; Meirman C; Dior UP; Ben-Meir A
  • Eur J Obstet Gynecol Reprod Biol 2021[May]; 260 (ä): 154-158 PMID33774596show ga
  • OBJECTIVE: To assess the impact of the COVID-19 pandemic on the activity of a tertiary fertility service and compare telemedicine and face-to-face meetings during this time. METHODS: This was a retrospective cohort study conducted in a university affiliated tertiary medical center. Included were patients scheduled for an appointment in the in-vitro fertilization (IVF) unit between March 18th and April 15th. A comparison was made between patients who chose telemedicine as opposed to face-to-face meetings. Additionally, the population of patients who chose to cancel their appointment was characterized. IVF cycle outcomes were additionally compared between the groups. RESULTS: Overall, 90 IVF clinic appointments were scheduled during the study period. Thirty-four (37.8 %) patients chose to arrive to the clinic in spite of the COVID 19 pandemic and partial quarantine, 27 (30.0 %) patients chose to avoid in person meeting and scheduled a telemedicine appointment and 29 (32.2 %) patients cancelled their appointment. On comparison between patients who chose telemedicine vs. face-to-face meeting, the telemedicine group had lower prevalence of primary infertility (20.0 % vs. 47.1 %, p = 0.037) and higher rates of preimplantation genetic testing indication for in-vitro fertilization (48.2 % vs. 20.6 %, p = 0.026). Rate of a first-ever clinic visit was higher in patients that arrived for a face-to-face meeting, as compared to telemedicine encounter (55.9 % vs. 28.0 %, respectively; p = 0.036). Patients that opted to avoid attending the clinic or meeting via telemedicine had higher rates of medical comorbidities compared to patients who chose to attend their appointment (51.7 % vs. 29.5 %, p = 0.016). Rate of appointments that led to fresh or frozen-thawed embryo transfer and these transfers' outcomes (clinical pregnancy rate) were similar in the telemedicine and face-to-face meeting groups (72.2 % vs. 88.0 % and 30.8 % vs. 31.8 %, p = 0.73 and p = 1.00; respectively). CONCLUSION: Telemedicine is a valuable tool for delivering fertility care during the COVID-19 pandemic. There is need to determine which patients will benefit most from this modality.
  • |*COVID-19[MESH]
  • |*Pandemics[MESH]
  • |Communication[MESH]
  • |Female[MESH]
  • |Fertility[MESH]
  • |Humans[MESH]
  • |Pregnancy[MESH]
  • |Retrospective Studies[MESH]


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