Hemorrhage requiring transfusion within 12 weeks of ART cycle initiation

Status:

Ready to upload

Record number:

1596

Adverse Occurrence type:

Insertion of needle

MPHO Type:

Estimated frequency:

2,5/10.000 started ART cycles, calculated on 1.133.206 cycles in USA from 2000 to 2011.

Time to detection:

minutes - hours

Alerting signals, symptoms, evidence of occurrence:

Acute anemia, tachycardia, low blood pressure, shock, few minutes or hours since ovarian puncture for ovum retrieval.

Demonstration of imputability or root cause:

Vasal or ovarian lesion during ovarian puncture.

Imputability grade:

3 Definite/Certain/Proven

Groups audience:

Clinical complications

Keywords:

oocyte retrieval

ART (assisted reproductive technology)

low blood pressure

ovarian puncture

MAR (medically assisted reproduction)

References:

Safety of assisted reproductive technology in the United States, 2000-2011.

Reference attachment:

JAMA. 2015 Jan 6 313(1).pdf

Suggest references:

Kawwass JF, Kissin DM, et al. Safety of assisted reproductive technology in the United States, 2000-2011. JAMA. 2015 Jan 6;313(1):88-90

Expert comments for publication:

It is a well controllable complication, easily ascertainable with ultrasound scan, frequently autolimiting. Only in rare cases laparoscopy or laparotomy are necessary to repair the lesion.