Safety In Vitro Fertilization
Some of the couples to whom IVF treatment is to be administered are afraid that sperm, oocytes or embryos may get mixed with others. The following safety steps are planned to eliminate such risk.
Oocyte Growth Follow-up
- The growth of the oocytes is carried out with ultrasonic controls at intervals. At each control, the name of the patient is checked to be compared with the name in the file.
- Measurements made are recorded in the file.
- Drug names and doses are absolutely given in written to avoid any mistake.
- The timing of the “egg cracking shot” is important in vitro fertilization and microinjection treatments, despite not important in inoculation and scheduled intercourse. This issue is particularly specified.
Oocyte Pick-up (Oocyte Retrieval) Day
- On the day of procedure, the files of couples whose samples will be collected are checked and they wear the stable wristbands on which their names are written and are kept waiting.
- The photocopies of marriage certificate and IDs that the couples brought with them are checked and added to their files. Again couples are asked to read and sign the ‘Consent Form for Couples Undergoing ART (Assisted reproductive treatment)’. The photographs brought are checked and attached on the form near the couples.
- The male of the couple, whose ‘Laboratory Patient Information Form’ is filled out according to the information, is taken to the sperm collection room in company with laboratory staff, controlling the name and surname on the wristband.
- The male’s name and surname are asked and written on the container by a glass marker near him as he can see. After the name of his wife is noted, the container is delivered to him.
- Before leaving the room, the patient giving the sperm sample is asked to fill out and sign the ‘ejaculate sample delivery form’ for example, acknowledging that the sample belongs to him.
- In male patients who will undergo the PESA/TESA/TESE (testicular sperm collection) procedure for various reasons, after the wristband check, the patient is taken to the operating room by the nurse. After the name is again checked by the doctor, the samples taken are given to the laboratory staff. The laboratory staff fills out the appropriate laboratory forms after the final check.
- In order to avoid any confusion, the staff working in the andrology laboratory has been trained to study on the samples one by one. After the sample of each patient is studies, the used materials are disposed, and after the required cleaning procedures are performed, the next sample is taken into study by preparing the required new consumables.
- After ensuring that the required sperm cells are obtained, the male is reported that he can remove his wristband.
- The female, whom the oocyte will be retrieved, is taken into the procedure room, checking the wristband and the name. After the necessary preparations are made and after the last controls are made by the anesthetist and gynecologist, the oocyte pick-up procedure is performed.
- The laboratory staff, who filled out the ‘Laboratory Patient Information Form’ based on the information in the patient file and made the necessary preparations, sticks the labels including the information of name-surname and date on the shelves on which the preparations of that patient are present.Each dish prepared, under which the patient’s name and surname are written by glass marker, is placed on the shelf. After the pick-up procedure, the name and surname are checked and the oocytes retrieved are transferred into the dishes, under which the same name and surname are written, and are placed on the shelf on which that name and surname are written.
- After the procedures and follow-ups, the gametes and embryos are continuously monitored by following this dual control system and are recorded in the patient information form in written.
- Couples, who call the center or personally apply, are recorded on the appointment log book on the information-registration desk and an appropriate time is scheduled. The emergency telephone numbers taken from the couples to be able to contact in case of need are also recorded on this book. Since medical records cannot be given to third parties without a court decision, there is no inconvenience for families to give their address and telephone information.
- Couples attending at the appointment hour interview with the responsible doctor and receive required information. Examinations and ultrasounds of the patients whose anamnesis is taken are performed and recorded in the patient file. Appropriate treatment protocol is determined and recorded on the front side of the file.
- In case of need, the required consultations and examinations are told to the patients and requested to be applied.
- After consultation and test results are obtained, they are recorded on the ‘Patient Evaluation Form’. The family is informed.
- In the light of all these data collected, final information and prognosis about the type, characteristics, risks, financial and medical liabilities of the treatment decided is explained to the couples and they are requested to make a decision on the treatment.
- Couples are reminded that a photograph along with photocopies of marriage certificate and identity cards should be available while they are coming for the treatment.
- After the responsible IVF nurse cheks the patient file and the papers, s/he explains the protocol planned by the doctor, the treatment doses and the use of drugs by using the prepared forms filled out in the name of patient.
- The required prescriptions are arranged.
- Drug use apparatus (pen, injector) is practically shown to the family.
Embryo Transfer Day
- Patients, who are decided to undergo embryo transfer, are taken into the room by checking the wristband before they undergo the procedure. During the time of transfer, the patient’s name and surname are audibly repeated for the last time and the procedure is completed.
- After the patient is informed orally and in written at the end of the rest period after the transfer, the wristband on the patient’s arm is removed and the patient is discharged.