Acceptance of HIV-infected patients in assisted reproductive technique protocols

作者：Manigart Y; Autin C; Rozenberg S^*; Barlow P; Hainaut M; Gustin M I; Gerard M; Delvigne A

来源：Maturitas, 2010, 65(1): 46-50.

DOI：10.1016/j.maturitas.2009.10.015

• HIV
• IVF
• ART
• In vitro fertilization
• Assisted reproductive technique
• Multidisciplinary

Objective: To assess the adequacy of a multidisciplinary approach providing information to couples affected by HIV before ART.
Design: Prospective observational study.
Setting: RT centre and infectious disease clinic, public university hospital.
Patients: 50 couples with at least one HIV-infected partner.
Interventions: Multidisciplinary approach towards ART by various intervening physicians (specialist in fertility, infectious diseases, paediatrics, obstetrics, psychiatry).
Main outcome measured: We analysed specifically the cases in which the staff did not accept and the patient's compliance to the counselling procedures.
Results: Among the 150 couples, 30 did not complete the procedure and were lost to follow-up. The remaining 120 couples were evaluated: 89 couples were accepted, 5 were temporarily refused and 26 were refused definitively. The major reasons for refusal were medical reasons (n = 13).
Conclusion: Because of the high refusal rate and the drop of rate, a multidisciplinary approach is mandatory before initiating ART in seropositive couples.

• 出版日期2010-1