Azzahra Fira, Pangestu Mulyoto, Lestari Silvia W, Pratama Gita
Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia. Email:
Department of Obstetrics and Gynaecology, Faculty of Medicine, Nursing and Health Sciences, Monash University, Australia.
Int J Fertil Steril. 2023 Aug 7;17(4):254-258. doi: 10.22074/ijfs.2023.562118.1381.
Corona virus disease-19 (COVID-19) pandemic also led to a reduction or even the suspension of elective health services. These decisions affected fertilization (IVF) programs worldwide. Therefore, it is essential to map the readiness of IVF clinics in providing safety in this situation and in the future.
This is a retrospective qualitative and quantitative research done in 2021 that involved three IVF clinics of Jakarta, Indonesia. Those three clinics were government-owned, private-owned, and educational and training center. The qualitative data of each clinic's readiness towards COVID-19 was obtained from interviews with the clinics staff. The quantitative data were collected from the clinics patients' number and demographic data from 2019-2021 as well as from COVID-19 databases. Both data sets were analysed descriptively and only for the quantitative analysis Stata version 16 was used.
There were changes in the domiciles and number of patients attending the three clinics. The ratio of patients from Jakarta increased while patients from outside Java Island decreased. There was a drop in annual patient numbers in 2020. However, from June 2020 to December 2021, the number of monthly IVF cycles increased significantly by 3.5 cycles per month (P=0.001). There was no association between IVF patients' attendance numbers and COVID-19 cases (P=0.785). One of the clinics had a negative pressure operating theatre, which made them more confident in treating patients with COVID-19 positive and made them even had higher IVF cycles started than the pre-pandemic period.
Those three clinics are prepared in facing COVID-19, as they complied with government regulations. As the COVID-19 pandemic progressed, the number of patients gradually returned to normal.
2019冠状病毒病（COVID-19）大流行也导致了选择性医疗服务的减少甚至暂停。这些决定影响了全球的体外受精（IVF）项目。因此，有必要了解体外受精诊所在此情况下及未来提供安全保障的准备情况。
这是一项于2021年进行的回顾性定性和定量研究，涉及印度尼西亚雅加达的三家体外受精诊所。这三家诊所分别为政府所有、私人所有以及教育培训中心。通过与诊所工作人员访谈获取各诊所应对COVID-19准备情况的定性数据。定量数据收集自2019 - 2021年诊所患者数量和人口统计学数据以及COVID-19数据库。对这两组数据集进行描述性分析，仅在定量分析中使用了Stata 16版本。
三家诊所的患者居住地和数量发生了变化。来自雅加达的患者比例增加，而来自爪哇岛以外的患者减少。2020年患者年度数量有所下降。然而，从2020年6月到2021年12月，每月体外受精周期数显著增加，每月增加3.5个周期（P = 0.001）。体外受精患者就诊数量与COVID-19病例之间无关联（P = 0.785）。其中一家诊所有负压手术室，这使他们在治疗COVID-19阳性患者时更有信心，甚至其开始的体外受精周期数比疫情前时期更高。
这三家诊所已做好应对COVID-19的准备，因为它们遵守了政府规定。随着COVID-19大流行的发展，患者数量逐渐恢复正常。
