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Development of assisted reproductive technology services in Thailand between 2008 and 2014 before the new law: Results generated from the National ART Registry, Royal Thai College of Obstetricians and Gynecologists

Charoenchai Chiamchanya
Charoenchai Chiamchanya
 and 
Kamthorn Pruksananonda
Kamthorn Pruksananonda
   | Jun 04, 2020
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Article Category: Brief communication (original)
Published Online: Jun 04, 2020
Page range: 189 - 196
DOI: https://doi.org/10.1515/abm-2019-0060
Keywords
© 2019 Charoenchai Chiamchanya et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Figure 1

Trends of the number of ART centers (white bars) and total ART cycles (initiated cycles; light-gray bars and FET cycles; black bars) in Thailand (unit in hundred) between 2008 and 2014.
Trends of the number of ART centers (white bars) and total ART cycles (initiated cycles; light-gray bars and FET cycles; black bars) in Thailand (unit in hundred) between 2008 and 2014.

Figure 2

The proportion of ART techniques in Thailand between 2008 and 2014. The bars represent the ART techniques; ICSI surgically retrieved sperm (white bars), ICSI ejaculated sperm (light-gray bars), IVF (medium-gray bars), ZIFT (dark-gray bars), GIFT (black bars).
The proportion of ART techniques in Thailand between 2008 and 2014. The bars represent the ART techniques; ICSI surgically retrieved sperm (white bars), ICSI ejaculated sperm (light-gray bars), IVF (medium-gray bars), ZIFT (dark-gray bars), GIFT (black bars).

Figure 3

The clinical pregnancy rate per transfer of each ART techniques in Thailand between 2008 and 2014. The bars represent the ART techniques; ICSI surgically retrieved sperm (white bars), ICSI ejaculated sperm (light-gray bars), IVF (medium-gray bars), ZIFT (dark-gray bars), GIFT (black bars).
The clinical pregnancy rate per transfer of each ART techniques in Thailand between 2008 and 2014. The bars represent the ART techniques; ICSI surgically retrieved sperm (white bars), ICSI ejaculated sperm (light-gray bars), IVF (medium-gray bars), ZIFT (dark-gray bars), GIFT (black bars).

Figure 4

Comparison of the clinical pregnancy rate per transfer between fresh (dark-gray bars) and frozen-thawed (light-gray bars) cycles in Thailand between 2008 and 2014. *P < 0.05; **P < 0.01; ns = P > 0.05.
Comparison of the clinical pregnancy rate per transfer between fresh (dark-gray bars) and frozen-thawed (light-gray bars) cycles in Thailand between 2008 and 2014. *P < 0.05; **P < 0.01; ns = P > 0.05.

Figure 5

Comparison of the clinical pregnancy rate per transfer and the pregnancy results among different female partner age groups between fresh cycle (white bars) and frozen-thawed cycle (gray bars) in Thailand between 2008 and 2014. *P < 0.01.
Comparison of the clinical pregnancy rate per transfer and the pregnancy results among different female partner age groups between fresh cycle (white bars) and frozen-thawed cycle (gray bars) in Thailand between 2008 and 2014. *P < 0.01.

Figure 6

Comparison trend of the clinical pregnancy rates with PGS cycles in Thailand between 2008 and 2014. The lines show pregnancies/initiated cycles (circles, dashed lines), pregnancies/retrieved cycles (squares, unbroken lines), and pregnancies/transfer cycles (triangles, unbroken lines).
Comparison trend of the clinical pregnancy rates with PGS cycles in Thailand between 2008 and 2014. The lines show pregnancies/initiated cycles (circles, dashed lines), pregnancies/retrieved cycles (squares, unbroken lines), and pregnancies/transfer cycles (triangles, unbroken lines).

Figure 7

Trends of the percentage of the ratio of ART birth rate to natural birth rate in Thailand between 2008 and 2014. The lines show birth rate from ART/1000 (unbroken lines), national birth rate/100 (dotted lines), and birth rate from ART/natural birth rate (%) (dashed lines).
Trends of the percentage of the ratio of ART birth rate to natural birth rate in Thailand between 2008 and 2014. The lines show birth rate from ART/1000 (unbroken lines), national birth rate/100 (dotted lines), and birth rate from ART/natural birth rate (%) (dashed lines).

Comparison of the clinical pregnancy rate per transfer between the size of ART centers in Thailand in 2008–2014

YearCyclesNo. of centersTotal cyclesPregnancies/transfer cycle (%)P*OR (95% CI)
2008<1002279728.01–1
100–400111,95335.31<0.011.41 (1.18, 1.69)
>400287228.010.991.0 (0.81, 1.24)
2009<1001645434.04–1
100–400162,96235.660.531.06 (0.87, 1.32)
>40053,06534.570.851.02 (0.83, 1.25)
2010<100231,13932.89–1
100–400112,37036.670.031.18 (1.02, 1.37)
>400297831.960.660.96 (0.80, 1.15)
2011<100221,04530.86–1
100–400122,38434.480.041.19 (1.01, 1.39)
>40031,72617.83<0.010.48 (0.4, 0.58)
2012<1001973631.52–1
100–400173,43834.010.21.12 (0.94, 1.33)
>40031,7078.7<0.010.21 (0.16, 0.26)
2013<1001861833.32–1
100–400203,54630.79<0.011.66 (1.37, 1.96)
>40042,26033.010.880.99 (0.81, 1.19)
2014<100271,29431.04–1
100–400162,90041.14<0.011.55 (1.34, 1.78)
>40042,14240.35<0.011.50 (1.29, 1.74)
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