Embryo transfer by reproductive endocrinology fellows vs attending physicians: Are live birth rates comparable?

Jennifer L. Eaton*, Xingqi Zhang, Randall B. Barnes

*Corresponding author for this work

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Objective To compare live birth rates following ultrasound-guided embryo transfer (ET) by reproductive endocrinology and infertility fellows versus attending physicians. Study Design Women who underwent their first day-3, fresh, nondonor ET between Oct. 1, 2005, and April 1, 2011, at our academic center were included in this retrospective cohort study. Embryos were designated high quality if they had 8 cells, less than 10% fragmentation, and no asymmetry. ET was performed with the afterload technique under ultrasound guidance. Categorical variables were evaluated with the χ2 test and continuous variables with the Student t test. Logistic regression was performed to assess the relationship between ET physician and live birth rate while adjusting for potential confounders. Results Seven hundred sixty women underwent ET by an attending physician, and 104 by a fellow. Baseline characteristics were similar between the groups. The live birth rate was 31% following ET by an attending physician, compared with 34% following ET by a fellow (P =.65). Logistic regression adjusting for potential confounders demonstrated no significant association between ET physician and live birth rate. Conclusion This retrospective study demonstrated no significant difference in live birth rates following ultrasound-guided ET by fellows vs attending physicians at our institution. These data suggest that academic practices using the afterload method and ultrasound guidance can train fellows to perform ET without compromising success rates.

Original languageEnglish (US)
Pages (from-to)494.e1-494.e5
JournalAmerican journal of obstetrics and gynecology
Volume211
Issue number5
DOIs
StatePublished - Nov 1 2014

Keywords

  • assisted reproductive technology
  • embryo transfer
  • in vitro fertilization

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Fingerprint Dive into the research topics of 'Embryo transfer by reproductive endocrinology fellows vs attending physicians: Are live birth rates comparable?'. Together they form a unique fingerprint.

  • Cite this