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ET Procedure (continued)
7. Remove mucus from endocervical canal.
8. Prepare the embryo transfer catheter and traverse the cervix using one of the following techniques: Direct Transfer, Trial followed by Transfer, Afterload Transfer, and Trial converted to Afterload Transfer (each with common and acceptable variations).
9. Place the tip of the catheter at the ideal location within the endometrial cavity: the upper or middle third of the cavity not closer than 1 cm to fundus.
10. Expel the embryos, and withdraw the catheter immediately.
11. Check the catheter for retained embryo(s). If embryos are identified, reload and re‐transfer immediately.
12. Patient gets up and leaves can ambulate without routinely being provided bed rest first.
Difficult Transfers
1. What are initial strategies you use when you encounter a difficult transfer?
‐ varying amount of urine in bladder 40% ‐ use stylet 34%
‐ change type of catheter 30%
‐ administer relaxant and “take a break”
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