Volume 35

Number 2 July 2023

The Impact of General Anesthetic Technique Over Subarachnoid Block in Oocyte Retraction on the Outcome of In Vitro Fertilization

DOI: https://doi.org/10.47648/jmsr.2023.v3502.02

Shariful Islam Seraji1 , K.M. Muzibul Haque2 , Samar Chandra Saha3 , F.M. Anamul Haque4 , Md. Abdur Rahman5 , A.M. Delwar Hossain6 , Ayesha Nigar Nur7

Abstract

Background: The management of discomfort and anxiety during oocyte retrieval makes anesthesia a crucialcomponent of in vitro fertilization (IVF) treatments. Numerous research studies have looked at the impact ofanesthetics on IVF’s effectiveness. Objective: To evaluate the effect of anesthetic technique in oocyte pickup onthe outcome of in vitro fertilization. Materials and method: This study is based on retrospective data gatheredover 1 year and 6 months, from June 2022 to January 2024—patients’ records from hospitals where OPU wasperformed under general anesthesia and SAB were analyzed. The research was conducted at the IVF Unit ofthe Anam IVF Fertility Centre, Bangladesh. A total of 206 patients were included in this study as a sample size.Every participant had been unable to conceive for at least a year. Every patient’s file underwent an analysisdone in retrospect.

The human chorionic gonadotropin (hCG) type (recombinant or urine) and the occurrence of ovarianhyperstimulation syndrome (OHSS) were all documented. The gonadotropin type was recombinant follicle-stimulating hormone [r-FSH] and/or urinary FSH [u-FSH]. Results: The mean ages for SAB and GA were31.94± 5.91 and 31.73 ±4.81, respectively. Age, BMI, infertility duration, previous IVF cycle (if utilized), andbaseline hormone levels were distributed equally across the groups. The duration of anesthesia was 24.16±8.49 minutes for the GA group and 27.28 ±12.15 minutes for the SAB group. Conclusion: According tosome studies, acupuncture may help increase IVF success. However, other studies did not see similar results.Further research should be done because there are still questions regarding the ideal application window andthe underlying mechanism of action.

Keywords:


  1. Assistant Professor, Department of Anesthesiology & ICU

    Holy Family Red Crescent Medical College, Dhaka

  2. Professor & Head, Department of Anesthesiology & ICU

    Holy Family Red Crescent Medical College, Dhaka

  3. Assistant Professor, Department of Anesthesiology & ICU

    Holy Family Red Crescent Medical College, Dhaka

  4. Chief Consultant

    Anam Fertility Centre, Dhaka

  5. Medical Officer, Department of Anesthesiology & ICU

    Holy Family Red Crescent Medical College, Dhaka

  6. Medical Officer, Department of Anesthesiology & ICU

    Holy Family Red Crescent Medical College, Dhaka

  7. Assistant Professor, Department of Obs & Gynae,

    Holy Family Red Crescent Medical College, Dhaka

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Volume 35, Number 2 July 2023
Page: 10-16