Advertisement

International Committee for Monitoring Assisted Reproductive Technology: world report on assisted reproductive technology, 2005

      Objective

      To analyze information on assisted reproductive technology (ART) performed worldwide and trends in outcomes over successive years.

      Design

      Cross-sectional survey on access, effectiveness, and safety of ART procedures performed in 53 countries during 2005.

      Setting

      A total of 2,973 clinics from national and regional ART registries.

      Patient(s)

      Infertile women and men undergoing ART globally.

      Intervention(s)

      Collection and analysis of international ART data.

      Main Outcome Measure(s)

      Number of cycles performed by country and region, including pregnancies, single and multiple birth rates, and perinatal mortality.

      Result(s)

      Overall, 1,052,363 ART procedures resulted in an estimated 237,315 babies born. The availability of ART varied by country from 15 to 3,982 cycles per million of population. Of all initiated fresh cycles, 62.9% were intracytoplasmic sperm injection. The overall delivery rate per fresh aspiration was 19.6% and for frozen embryo transfer 17.4%, with a cumulative delivery rate of 23.9%. With wide regional variations, single embryo transfer represented 17.5% of cycles, and the proportion of deliveries with twins and triplets from fresh transfers was 23.6% and 1.5%, respectively.

      Conclusion(s)

      Systematic collection and dissemination of international ART data allows patients, health professionals, and policy makers to examine and compare the impact of reproductive strategies or lack of them as markers of reproductive health.

      Key Words

      To read this article in full you will need to make a payment

      Subscribe:

      Subscribe to Fertility and Sterility
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Sullivan E.A.
        • Zegers-Hochschild F.
        • Mansour R.
        • Ishihara O.
        • de Mouzon J.
        • Nygren K.G.
        • et al.
        International Committee for Monitoring Assisted Reproductive Technologies (ICMART) world report: assisted reproductive technology 2004.
        Humanit Rep. 2013; 28: 1375-1390
        • Nygren K.G.
        • Sullivan E.
        • Zegers-Hochschild F.
        • Mansour R.
        • Ishihara O.
        • Adamson G.D.
        • et al.
        International Committee for Monitoring Assisted Reproductive Technology (ICMART) world report: assisted reproductive technology 2003.
        Fertil Steril. 2011; 95: 2209-2222
        • Vayena E.
        • Rowe P.R.
        • Griffin P.D.
        ICMART glossary. Current practices and controversies in assisted reproduction. Report of a WHO Meeting.
        World Health Organization, Geneva2002: xix-xxi
        • Saitoh H.
        • Ishihara O.
        • Uchida S.
        • Kugu K.
        • Sawa R.
        • Takakura S.
        • et al.
        Clinical report of 2005 ART registry.
        Jpn J Obstet Gynecol. 2007; 29: 1717-1739
        • Jones Jr., H.W.
        • Cooke I.
        • Kempers R.
        • Brinsden P.
        • Sounders D.
        International Federation of Fertility Societies Surveillance 2010: preface.
        Fertil Steril. 2011; 95: 491
        • Zegers-Hochschild F.
        • Nygren K.
        • Ishihara O.
        The Impact of legislation and socioeconomics factors in the access to and global practice of assisted reproductive technology (ART).
        in: Weissman A. Gardner D.K. Shoham Z. Howles C.M. Textbook of assisted reproductive medicine. 4th ed. Informa Healthcare, London2011: 441-450
        • Nangia A.K.
        • Luke B.
        • Smith J.F.
        • Mak W.
        • Stern J.E.
        National study of factors influencing assisted reproductive technology outcomes with male factor infertility.
        Fertil Steril. 2011; 96: 609-614
        • Halliday J.
        Outcomes for offspring of men having ICSI for male factor infertility.
        Asian J Androl. 2012; 14: 116-120
        • Finstrom O.
        • Kallén B.
        • Lindam E.
        • Nygren K.G.
        • Nilssen E.
        • Otterbad-Olausson P.
        Maternal and child outcome after IVF: a review of 25 years of population-based data from Sweden.
        Acta Obstet Gynecol Scand. 2011; 90: 494-500
        • Zegers-Hochschild F.
        • Nygren K.G.
        • Adamson G.D.
        • de Mouzon J.
        • Lancaster P.
        • Mansour R.
        • et al.
        The ICMART glossary on ART terminology.
        Hum Reprod. 2006; 21: 968-970
        • Zegers-Hochschild F.
        • Nygren K.G.
        • Adamson D.
        • de Mouzon J.
        • Lancaster P.
        • Mansour R.
        • et al.
        The International Committee Monitoring Assisted reproductive Technologies (ICMART) glossary on ART terminology.
        Fertil Steril. 2006; 86: 16-19
        • Zegers-Hochschild F.
        • Adamson G.D.
        • de Mouzon J.
        • Ishihara O.
        • Mansour R.
        • Nygren K.
        • et al.
        The International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) revised glossary of ART terminology, 2009.
        Hum Reprod. 2009; 24: 2683-2687
        • Zegers-Hochschild F.
        • Adamson G.D.
        • de Mouzon J.
        • Ishihara O.
        • Mansour R.
        • Nygren K.
        • et al.
        International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) revised glossary of ART terminology, 2009.
        Fertil Steril. 2009; 92: 1520-1524