Medically assisted reproduction in Italy, 2020 data from the Italian MAR Register.

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Minerva obstetrics and gynecology Pub Date : 2024-04-01 Epub Date: 2024-02-29 DOI:10.23736/S2724-606X.23.05375-7
Giulia Scaravelli, Roberto DE Luca, Roberta Spoletini, Lucia Speziale, Fabiola Fedele, Simone Bolli, Monica Mazzola, Anna Bertini, Cinzia DI Monte, Vincenzo Vigiliano
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Abstract

Background: The Italian Medically Assisted Reproduction (MAR) Register (ItMARR) was established by the Decree of the Minister of Health issued on October 7th, 2005. ItMARR has a crucial role in clearly and publicly disseminating epidemiological information on the MAR activities and outcomes.

Methods: ItMARR data is collected in aggregate form and is mandatory as set out in Law 40/2004. The aim of this article is to make a snapshot of the authorized centers that perform IUI and ART in Italy. Data used in this article refer to MAR treatments started between January 1st and December 31st, 2020.

Results: MAR techniques were performed by 332 centers. In total, 67,927 ART cycles and 12,171 IUI cycles were performed in 2020. Gametes donation cycles represent 12.9% of ART activity and 4.0% of IUI. ART cycles performed per million women of childbearing age was 6525. In 2020, 2.5% of births in the general population in Italy were a result of application of ART techniques. MAR activity in 2020, has been heavily reduced by the limitations to reproductive treatment due to SARS-CoV-2 pandemic. Pregnancy rates per transfers were 26.7% with fresh techniques, 32.6% with FER, 25.7% with FO, 38.0% with OD and 39.1% with SD. There were fewer multiple deliveries than the previous year.

Conclusions: The ItMARR, has become a great asset in the reproductive health scenario promoting a better MAR information dissemination. ItMARR is working on the implementation towards a "cycle-by-cycle" data collection system. This will bring the Italian monitoring system in line with others European countries.

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意大利医学辅助生殖,2020 年意大利 MAR 登记数据。
背景:意大利医学辅助生殖(MAR)登记册(ItMARR)是根据 2005 年 10 月 7 日颁布的卫生部长令建立的。ItMARR 在明确和公开传播有关 MAR 活动和结果的流行病学信息方面起着至关重要的作用:方法:根据第 40/2004 号法律的规定,ItMARR 数据是以汇总形式收集的,具有强制性。本文旨在简要介绍意大利进行人工授精和抗逆转录病毒疗法的授权中心。本文使用的数据指的是 2020 年 1 月 1 日至 12 月 31 日期间开始的 MAR 治疗:332家中心开展了MAR技术。2020 年共进行了 67927 个 ART 周期和 12171 个人工授精周期。配子捐赠周期占 ART 活动的 12.9%,占人工授精周期的 4.0%。每百万育龄妇女进行的 ART 周期为 6525 个。2020 年,意大利 2.5%的出生人口是应用 ART 技术的结果。由于 SARS-CoV-2 大流行对生殖治疗的限制,2020 年的 MAR 活动大大减少。采用新鲜技术的每次输卵管妊娠率为 26.7%,采用 FER 的妊娠率为 32.6%,采用 FO 的妊娠率为 25.7%,采用 OD 的妊娠率为 38.0%,采用 SD 的妊娠率为 39.1%。与前一年相比,多胎分娩的情况有所减少:ItMARR 已成为生殖健康领域的重要资产,促进了更好的 MAR 信息传播。ItMARR 正在努力实施 "逐周期 "数据收集系统。这将使意大利的监测系统与其他欧洲国家保持一致。
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来源期刊
Minerva obstetrics and gynecology
Minerva obstetrics and gynecology OBSTETRICS & GYNECOLOGY-
CiteScore
2.90
自引率
11.10%
发文量
191
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