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Infertility Support and Discussion
Reply to "Bed rest after transfer at SG"
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[quote=Anonymous] a study done in Egypt found that women who were on bed rest for 24 hours following a transfer had a lower success rate compared to those who returned to their usual routine. Some believe that bed rest can actually be detrimental because it prevents normal fluctuations in heart rate and blood flow. IVF Success Rates are not affected In 1988, a report was published calling into question the logic of bedrest after IVF. The arguement was that since the uterus is tilted in the body, that in the upright or standing position, the uterus is almost horizontal. It made more sence, then to have an IVF patient stand rather than lie down. when this IVF group then encouraged patients to get up after an embryo transfer, their pregnancy rates actually increased! Another study used ultrasound to study the issue. During an IVF embryo transfer, there are air bubbles present in the transfer cather that are visible on ultrasound. After the embryo transfer is completed, these air bubbles can be seen in the uterus. It was found that when patients are asked to stand immediately after the embryo transfer, the position of the air bubble (and by extension the embryos) do not move. In the modern are, there are two times in which bedrest has been recommended: Immediately upon performing the embryo transfer After the patient is discharged and goes home. Lasting from some specified amount of time from a few days to a few weeks Two IVF studies from the United Kingdom have addressed this issue. In both studies, no effect of bedrest could be detected on IVF success rates. This month, another study was published in the journal Fertility and Sterility. In this study, 406 patients were given the option to rest or not after the IVF embryo transfer. Of these women, 167 decided to get up immediately and 239 decided to stay for 1 hour’s bed rest. The results are not surprising. Pregnancy rates did not differ between the groups: 41 out of 167 (24.55%) in the group that got up immediately and 51 out of 239 (21.34%) in the bed-rest group.[/quote]
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