International Committee for Monitoring Assisted Reproductive Technologies (ICMART): world report on assisted reproductive technologies, 2013

ObjectiveTo report the utilization, effectiveness, and safety of practices in assisted reproductive technology (ART) globally 2013 assess global trends over time.DesignRetrospective, cross-sectional survey on ART procedures performed during 2013.SettingSeventy-five countries 2,639 clinics.Patient(s)Women men undergoing procedures.Intervention(s)All ART.Main Outcome Measure(s)The cycles outcomes country-by-country, regional, levels. Aggregate country data were processed analyzed based methods developed by International Committee for Monitoring Assisted Reproductive Technology (ICMART).Result(s)A total 1,858,500 conducted treatment year across clinics 75 participating with a participation rate 73.6%. Reported estimated suggest 1,160,474 embryo transfers (ETs) resulting >344,317 babies. From 2012 to 2013, number reported aspiration frozen ET increased 3% 16.4%, respectively. The proportion women aged >40 years nondonor from 25.2% 26.3% 2013. As percentage cycles, intracytoplasmic sperm injection (ICSI) was similar results 2012. vitro fertilization (IVF)/ICSI combined delivery rates per fresh 24.2% 22.8%, In single 33.7% 36.5% whereas average transferred embryos 1.81—again wide variation. twin deliveries after 17.9%; triplet 0.7%. used 57.6%, an 1.49 10.8% 0.4%, cumulative 30.4%, that Perinatal mortality 1,000 births 22.2% IVF/ICSI 16.8% ET. presented depended quality completeness submitted individual countries. This covers approximately two-thirds world activity. Continued efforts improve consistency reporting registries are still needed.Conclusion(s)Reported between adoption better method estimating unreported cycles. To time. Retrospective, Seventy-five clinics. Women procedures. All ART. (ICMART). A needed.