■本文件的目的是为不孕症专家提供指导,妇科医生,胚胎学家,并向他们简要介绍该领域的最新进展。这些建议将帮助上述医疗保健专业人员进行日常临床决策,以最佳的证据为患者提供适当和有效的护理。
■广泛的讨论,讨论,头脑风暴是在不同的生殖医学(RM)专家之间进行的,制定建议。
■使用PubMed和Cochrane协作图书馆对截至2019年6月发表的文献进行了系统回顾。国际准则,队列研究,案例系列,观察性研究,并对文献中现有的随机对照试验进行了综述.还审查了印度的任何可用数据。
■主要会议与领先的生殖医学专家举行。每个主题都由一组生殖医学专家集思广益,然后,他编写了建议的初稿。这些建议随后由JaideepMalhotra博士审查,GouriDevi博士,和MadhuriPatil博士以及每个共识的首席协调员,以最终确定最终草案。
■从文献和对现有证据的讨论中,确定了几个证据不一致的主题,不足,或不存在。为了夫妇接受多次治疗,工作委员会建议未来的研究,在可能的情况下,在精心设计的RCT中,将有助于为特定实践建立证据。在印度的背景下,还需要考虑可用的设施和选项,成本,缺乏保险,一些先进技术的实验性质。
UNASSIGNED: The objective of this document is to provide guidance to the infertility specialist, gynecologist, embryologist, and counselors on the management of sub-fertility and brief them with the recent advances in the field. These recommendations will aid the aforementioned healthcare professionals in everyday clinical decisions about appropriate and effective care of their patients with the best available evidence.
UNASSIGNED: Extensive deliberations, discussion, and brainstorming was done between different reproductive medicine (RM) specialists, to develop the recommendations.
UNASSIGNED: A systematic review of the literature published up to June 2019 was carried out using PubMed and Cochrane Collaboration Library. International guidelines, cohort studies, case series, observational studies, and randomized controlled trials currently available in the literature were reviewed. Indian data whatever available was also reviewed.
UNASSIGNED: Primary meetings were held with leading reproductive medicine specialists. Each topic was brainstormed on by a group of reproductive medicine experts, who then prepared the first draft of the recommendation. These recommendations then were reviewed by Dr. Jaideep Malhotra, Dr. Gouri Devi, and Dr. Madhuri Patil along with the chief co-ordinator of each consensus to finalize the final draft.
UNASSIGNED: From the literature and discussion of the available evidence, several topics were identified for which evidence is inconsistent, insufficient, or non-existing. For the benefit of couples undergoing several treatments, the working committee recommends that future research, where possible in well-designed RCTs, will help in establishing evidence for a particular practice. In the Indian context, one also needs to take into consideration facilities and options available, cost, lack of insurance coverage, experimental nature of some advanced techniques used.