Knowing the above knowledge about IVF, how should we choose a suitable reproductive center? I would like to provide some rough views of my own.
Most of the following data can be found on the Internet, provided that you make good use of search engines instead of using a simple keyword [where is infertility good] to spread all over the world.
Success rate
The [success rate] of reproductive centers is too general.
In the professional field, the success rate of IVF is subdivided into different indicators, and the two indicators that can represent the success rate of IVF are roughly [pregnancy rate] and [baby-carrying home rate].
1. Rate of baby-carrying home
The closest relationship with patients is the rate of carrying babies home, which reflects how many patients can carry healthy children home within a certain period of time. The data is generally lower than the pregnancy rate, because like natural pregnancy, women who do assisted reproduction may also have embryo implantation failure, abortion and other events.
In fact, not all reproductive centers will list the rate of carrying babies home during publicity, because:
- This data needs to be tracked for a long time. Some people lose contact with the reproductive center after pregnancy, resulting in the lack of some data. This data reflects the [success rate] nearly a year ago and cannot represent the [success rate] in recent months.
2. Pregnancy rate
Reproductive centers prefer [pregnancy rate] as an evaluation index, which can reflect the operation of the center in real time.
In the index of pregnancy rate, the more commonly used is [clinical pregnancy rate], that is, the pregnancy sac is found in the uterus under B-ultrasound examination. The clinical pregnancy rate in the general reproductive center ranges from 40% to 60%, of course, there are also institutions with clinical pregnancy rate exceeding 60%.
If you see the publicity of high clinical pregnancy rate, there may be the following reasons:
- [Clinical Pregnancy Rate] is counted with natural months as the cycle. However, [Clinical Pregnancy Rate] fluctuates between natural months. It is not the same. Some publicity can select the month of the year with the highest [clinical pregnancy rate] for statistics. In order to expand the publicity effect. It is not excluded that the [pregnancy rate] of some units refers to the [biochemical pregnancy rate] plus the [clinical pregnancy rate], thus expanding the publicity effect. Biochemical pregnancy refers to the elevation of hCG that can be detected in blood, but if the gestational sac cannot be seen by ultrasound examination, it indicates that the fertilized egg has failed to settle down successfully in the uterus.
What is more important here is that the clinical pregnancy rate cannot be used as the only indicator for patients to choose reproductive centers, because:
- Some reproductive centers are famous, Good technology, Often attracts older, Or patients with complicated conditions, The clinical pregnancy rate is not particularly prominent. There are also some different calculation methods in reproductive centers, which cause this data to lose its own objectivity. For example, we mentioned in the previous article that the older the woman is, the significantly lower the pregnancy rate will be. These reproductive centers will exclude IVF operations where the woman is older than a certain value when calculating the pregnancy rate of their own institutions, making the denominator smaller and increasing the clinical pregnancy rate in terms of data.
It should be noted that some organizations will publicize their level of treatment of infertility with success stories or stories, and should not be easily fooled.
Distance factor
Many people feel that their illness is more serious, but in the eyes of professionals, it may be very good to solve. At the same time, some large reproductive centers have too many patients, many patients need to wait several months to enter the IVF cycle. This is a waste of patients’ time.
In fact, some patients can consider nearby treatment, do not necessarily have to go to the network to find the most famous reproductive center. If the province has a reproductive center certified by the Ministry of Health, there is no need to go to Beishangguang to see a doctor across the province. Inquiry about whether the reproductive center is a method certified by the Ministry of Health can be seen in < < treatment of infertility, test-tube baby know how much > >.
Levels of reproductive centres
There are no absolute indicators to quantify the level of reproductive centers. If you come into contact with some core data, such as the age composition of patients in the hospital, the distribution of infertility characteristics of patients, solutions, etc., you can have a rough judgment. However, patients generally do not have access to such data.
A very rough suggestion is, can observe the center’s outpatient volume, IVF surgery volume and other side to determine, after all, the higher the level, to attract more patients to see a doctor. Some institutions will put their outpatient volume and other information on the website.
Some credible print reports can also be consulted. For example, some successful cases of a reproductive center, as well as propaganda such as [husband’s round-headed sperm gives birth to offspring through test tube technology], [eggs give birth to offspring after freezing], [three frozen babies] (eggs, sperm and embryos have been frozen). These technologies are relatively rare in China, and institutions that can complete them need certain technical reserves.
In addition, generally more well-known reproductive centers, their leaders have quite authoritative academic achievements, may also concurrently hold the positions of associations (such as the Chinese Medical Association, local medical associations, etc.) to undertake scientific research tasks. This aspect can be used as a reference.
Laboratory personnel
Reproductive centers not only need clinicians, but also the quality of laboratory personnel is very important.
Large reproductive centers will have professionals from different academic backgrounds to participate in laboratory work, such as medical and biological backgrounds. It is not surprising that there are several doctors in the laboratory.
Some reproductive centers will introduce their laboratory personnel on their websites. If it can be found, it is better to know about it.
Service Level
Some people once said that he wanted to drink tea and sit on the sofa with the doctor, chatting and seeing the disease, so he chose to go to private hospitals and private hospitals. In fact, this kind of medical treatment conditions, doctor-patient relationship is also what doctors in public hospitals hope. Have to say, at present, many large public hospitals in China are still not up to it.
At present, large hospitals in China have a huge number of outpatient visits and a shortage of manpower. It is impossible to reach such a service level for patients. However, the humanistic care in details of some reproductive centers is still a probe into the overall service consciousness of this institution.
For example, the decoration style of some reproductive centers is more relaxed and lively than other departments in the hospital. This is the intention of the hospital to provide a relatively relaxed environment for patients.
Having said so much, I just want people who need to treat infertility not to blindly believe in online medical advertisements, rationally choose regular and reliable medical units, and realize their family dreams.
Author: Li Di
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