Successful sequential single embryo transfer: A local experience

ABSTRACT

Our first test tube baby was born about 9 years ago1 and since then we have done about 127 patients resulting in 37 babies with a multiple pregnancy rate of 40 percent. The primary major risk of IVF that it shares with ovulation induction is the unacceptable rate of multiple pregnancy which is associated with high neonatal and maternal adverse outcomes. In order to reduce this risk, this case series aims to present clinical data of our two recent successful ongoing pregnancies from sequential single embryo transfer relating to improvement of culture media and changes that make embryo transfer more efficient especially when ultrasonographically guided. It is high time that Philippine Society of Reproductive Endocrinology and Infertility (PSREI) create guidelines in the practice of ART and collaborate in the submission of data to international organizations. The balance of risk and benefit is intrinsic to medical practice. Optimization of outcomes of IVF requires minimization of risk while maintaining or improving success rates. The use of single embryo transfer is a step in the right direction for ART in delivering a healthy baby.